95805 prior authorization | Premera Blue Cross of Washington

95805, Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 95805
Description: Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
Source: Clinical Review by Code List PBCWA, Pg 521 Original policy

Premera Blue Cross of Washington prior authorization

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