0410T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0410T, Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrode only, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0410T
- Description
- Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrode only
- Source
- New Hampshire Precertification List, Pg 51 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization