0410T prior authorization | Anthem Blue Cross and Blue Shield Virginia
0410T, Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic pa, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0410T
- Description
- Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic pa
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization