Premera Blue Cross of Washington prior authorization 0524T

Premera Blue Cross of Washington prior authorization for 0524T: Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, imaging guidance and monitoring

Code: 0524T
Description: Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, imaging guidance and monitoring
Source: Clinical Review by Code List PBCWA, Pg 105 Original policy

Premera Blue Cross of Washington prior authorization

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