64657 prior authorization | Anthem Blue Cross and Blue Shield Virginia
64657, Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 64657
- Description
- Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 26 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization