C9358 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
C9358, Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- C9358
- Description
- Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm
- Source
- New Hampshire Precertification List, Pg 218 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization