G0428 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
G0428, Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- G0428
- Description
- Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)
- Source
- New Hampshire Precertification List, Pg 230 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization