93315 prior authorization | Premera Blue Cross of Washington

93315, Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report 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: 93315
Description: Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 513 Original policy

Premera Blue Cross of Washington prior authorization

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