0825T prior authorization | Premera Blue Cross of Washington

0825T, Transcatheter removal and replacement of permanent single-chamber, leadless pacemaker, right atrial, including imaging guidance and device evaluation, when performed, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0825T
Description: Transcatheter removal and replacement of permanent single-chamber, leadless pacemaker, right atrial, including imaging guidance and device evaluation, when performed
Source: Clinical Review by Code List PBCWA, Pg 175 Original policy

Premera Blue Cross of Washington prior authorization

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