0411T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0411T, Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular electrode only, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0411T
Description: Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular electrode only
Source: Standard Local Prior Authorization Code List, Pg 138 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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