64656 prior authorization | Anthem Blue Cross and Blue Shield Virginia
64656, Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; 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
- 64656
- Description
- Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 26 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization