0414T prior authorization | Anthem Blue Cross and Blue Shield Virginia

0414T, Removal and replacement of permanent cardiac contractility modulation system pulse generator only, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0414T
Description: Removal and replacement of permanent cardiac contractility modulation system pulse generator only
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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