69714 prior authorization | Premera Blue Cross of Washington

69714, Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 69714
Description: Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy
Source: Clinical Review by Code List PBCWA, Pg 387 Original policy

Premera Blue Cross of Washington prior authorization

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