0413T prior authorization | Anthem Blue Cross and Blue Shield Virginia

0413T, Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0413T
Description: Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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