0408T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0408T, Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator with transvenous electrodes, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0408T
Description: Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator with transvenous electrodes
Source: New Hampshire Precertification List, Pg 51 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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