G0399 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
G0399, Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- G0399
- Description
- Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation
- Source
- New Hampshire Precertification List, Pg 229 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization