C9601 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

C9601, Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: C9601
Description: Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 218 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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