G2082 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

G2082, Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self administration, includes 2 hours post administration observation, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code

G2082

Description

Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self administration, includes 2 hours post administration observation

Source

New Hampshire Precertification List, Pg 230 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization