C9359 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

C9359, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: C9359
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
Source: New Hampshire Precertification List, Pg 218 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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