Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0802T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0802T: Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right atrial pacemaker component

Code
0802T
Description
Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right atrial pacemaker component
Source
New Hampshire Precertification List, Pg 73 Original policy

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