Anthem Blue Cross Blue Shield of California prior authorization 0571T

Anthem Blue Cross Blue Shield of California prior authorization for 0571T: Insertion or replacement of implantable cardioverter- defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed

Code

0571T

Description

Insertion or replacement of implantable cardioverter- defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed

Source

California PPO Prior Authorization List, Pg 143 Original policy

Anthem Blue Cross Blue Shield of California prior authorization