C9784 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
C9784, Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- C9784
- Description
- Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
- Source
- New Hampshire Precertification List, Pg 221 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization