C1605 prior authorization | Blue Cross Blue Shield Oklahoma

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 Blue Shield Oklahoma 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 Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 243 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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