0515T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0515T, Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery]), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0515T
Description: Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery])
Source: New Hampshire Precertification List, Pg 59 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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