C9362 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

C9362, Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), 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: C9362
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), 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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