Premera Blue Cross of Washington prior authorization 36479

Premera Blue Cross of Washington prior authorization for 36479: Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites These criteria do not imply or guarantee approval.

Code: 36479
Description: Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 307 Original policy

Premera Blue Cross of Washington prior authorization

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