93641 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
93641, Electrophysiologic evaluation of single or dual chamber pacing cardioverter- defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 93641
- Description
- Electrophysiologic evaluation of single or dual chamber pacing cardioverter- defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator
- Source
- New Hampshire Precertification List, Pg 191 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization