69716 prior authorization | Premera Blue Cross of Washington

69716, Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 69716
Description: Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex
Source: Clinical Review by Code List PBCWA, Pg 387 Original policy

Premera Blue Cross of Washington prior authorization

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