31253 prior authorization | Premera Blue Cross of Washington
31253, Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 31253
- Description
- Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed
- Source
- Clinical Review by Code List PBCWA, Pg 281 Original policy