0515T prior authorization | Anthem Blue Cross Blue Shield of California

0515T, Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery]), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 0515T
Description: Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery])
Source: California PPO Prior Authorization List, Pg 53 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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