Premera Blue Cross of Washington prior authorization 33258

Premera Blue Cross of Washington prior authorization for 33258: Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition to code for primary procedure)

Code: 33258
Description: Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition to code for primary procedure)
Source: Clinical Review by Code List PBCWA, Pg 288 Original policy

Premera Blue Cross of Washington prior authorization

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