0520T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0520T, Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0520T
- Description
- Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only
- Source
- New Hampshire Precertification List, Pg 59 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization