95782 prior authorization | Premera Blue Cross of Washington
95782, Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist 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
- 95782
- Description
- Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 520 Original policy