33266 prior authorization | Premera Blue Cross of Washington

33266, Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass 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: 33266
Description: Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 288 Original policy

Premera Blue Cross of Washington prior authorization

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