0522T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0522T, Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, wireless cardiac stimulator for left ventricular pacing, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0522T
- Description
- Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, wireless cardiac stimulator for left ventricular pacing
- Source
- New Hampshire Precertification List, Pg 60 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization