K0455 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

K0455, Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: K0455
Description: Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
Source: New Hampshire Precertification List, Pg 247 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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