K1030 prior authorization | Anthem Blue Cross and Blue Shield Virginia
K1030, External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- K1030
- Description
- External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 74 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization