S3870 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

S3870, Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: S3870
Description: Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
Source: New Hampshire Precertification List, Pg 267 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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