0517T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0517T, Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0517T
Description: Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only
Source: New Hampshire Precertification List, Pg 59 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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