0415T prior authorization | Anthem Blue Cross and Blue Shield Virginia

0415T, Repositioning of previously implanted cardiac contractility modulation transvenous electrode, (atrial or ventricular lead), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0415T
Description: Repositioning of previously implanted cardiac contractility modulation transvenous electrode, (atrial or ventricular lead)
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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