Cigna prior authorization for 0997T: Precuneus magnetic stimulation; treatment planning using magnetic resonance imaging-guided neuronavigation to determine optimal location, dose, and intensity for magnetic stimulation therapy, derived from evoked potentials from single pulses of electromagnetic energy recorded by 64-channel electroencephalogram, including automated data processing, transmission, analysis, generation of treatment parameters with review, interpretation, and report
Code
0997T
Description
Precuneus magnetic stimulation; treatment planning using magnetic
resonance imaging-guided neuronavigation to determine optimal
location, dose, and intensity for magnetic stimulation therapy, derived
from evoked potentials from single pulses of electromagnetic energy
recorded by 64-channel electroencephalogram, including automated
data processing, transmission, analysis, generation of treatment
parameters with review, interpretation, and report
Source
Master Precertification List
For Health Care Providers, Pg 16 Original policy
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