0915T prior authorization | Anthem Blue Cross Blue Shield of California

0915T, Insertion of permanent cardiac contractility modulation- defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator and dual transvenous electrodes/leads (pacing and defibrillation), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 0915T
Description: Insertion of permanent cardiac contractility modulation- defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator and dual transvenous electrodes/leads (pacing and defibrillation)
Source: California PPO Prior Authorization List, Pg 18 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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