S2055 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

S2055, Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: S2055
Description: Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
Source: New Hampshire Precertification List, Pg 265 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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