C1605 prior authorization | Blue Cross and Blue Shield of Montana

C1605, Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: C1605
Description: Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 253 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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