0520T prior authorization | Anthem Blue Cross Blue Shield of Georgia

0520T, Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0520T
Description: Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only
Source: Standard Local Prior Authorization Code List, Pg 139 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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