C1605 prior authorization | Anthem Blue Cross and Blue Shield Virginia

C1605, Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: C1605
Description: Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 62 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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