L8681 prior authorization | Premera Blue Cross of Washington

L8681, Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only 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: L8681
Description: Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 766 Original policy

Premera Blue Cross of Washington prior authorization

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