Cigna prior authorization for 0892T: Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent motor threshold redetermination with delivery and management, per treatment day
Code
0892T
Description
Accelerated, repetitive high-dose functional connectivity MRI-guided
theta-burst stimulation, including neuronavigation, delivery and
management, subsequent motor threshold redetermination with delivery
and management, per treatment day
Source
Master Precertification List
For Health Care Providers, Pg 15 Original policy
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