0863T prior authorization | Anthem Blue Cross Blue Shield of Colorado

0863T, Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 0863T
Description: Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only
Source: Colorado Prior Authorization List, Pg 140 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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