E0781 prior authorization | Blue Cross and Blue Shield of Montana

E0781, Ambulatory Infusion Pump Single Or Multiple Channels Electric Or Battery Operated With Administrative Equipment Worn By Patient, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: E0781
Description: Ambulatory Infusion Pump Single Or Multiple Channels Electric Or Battery Operated With Administrative Equipment Worn By Patient
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 260 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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