31295 prior authorization | Premera Blue Cross of Washington

31295, Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium transnasal or via canine fossa These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 31295
Description: Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium transnasal or via canine fossa These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 283 Original policy

Premera Blue Cross of Washington prior authorization

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