New Hampshire
Provider Communications
Anthem Blue Cross and Blue Shield local precertification change in New Hampshire
To obtain precertification, providers can access Availity* at www.availity.com or call the Utilization Management department using the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved.
Precertification can help avoid unnecessary charges or penalties by helping to ensure that the member's care is medically necessary and administered at an appropriate network facility and by a network provider.
Criteria |
Criteria description |
Codes |
Effective date |
LAB.00011 |
Selected Protein Biomarker Algorithmic Assays |
0080U |
April 1, 2023 |
LAB.00011 |
Selected Protein Biomarker Algorithmic Assays |
0092U |
April 1, 2023 |
LAB.00011 |
Selected Protein Biomarker Algorithmic Assays |
0174U |
April 1, 2023 |
LAB.00011 |
Selected Protein Biomarker Algorithmic Assays |
0247U |
April 1, 2023 |
LAB.00011 |
Selected Protein Biomarker Algorithmic Assays |
0249U |
April 1, 2023 |
LAB.00015 |
Detection of Circulating Tumor Cells |
0317U |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0483T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0484T |
April 1, 2023 |
SURG.00104 |
Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis |
0510T |
April 1, 2023 |
SURG.00104 |
Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis |
0511T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0544T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0545T |
April 1, 2023 |
LAB.00003 |
In Vitro Chemosensitivity Assays and In Vitro Chemoresistance Assays |
0564T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0646T |
April 1, 2023 |
CG-SURG-95 |
Sacral Nerve Stimulation and Percutaneous Tibial Nerve Stimulation for Urinary and Fecal Incontinence; Urinary Retention |
64585 |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
C1823 |
April 1, 2023 |
SURG.00124 |
Carotid Sinus Baroreceptor Stimulation Devices |
C1825 |
April 1, 2023 |
Featured In:
January 2023 Provider Newsletter - New Hampshire