Premera Blue Cross of Washington prior authorization 36476

Premera Blue Cross of Washington prior authorization for 36476: Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites

Code: 36476
Description: Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites
Source: Clinical Review by Code List PBCWA, Pg 307 Original policy

Premera Blue Cross of Washington prior authorization

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