Premera Blue Cross of Washington prior authorization 0780T

Premera Blue Cross of Washington prior authorization for 0780T: Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract

Code
0780T
Description
Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract
Source
Clinical Review by Code List PBCWA, Pg 167 Original policy

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