Premera Blue Cross of Washington prior authorization 37273
Premera Blue Cross of Washington prior authorization for 37273: Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers necessary for accessing and selectively catheterizing the artery and crossing the lesion, including all imaging guidance and radiological supervision and interpretation necessary to perform the atherectomy and angioplasty, when performed, within the same artery, unilateral; complex lesion, initial vessel
- Code
- 37273
- Description
- Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers necessary for accessing and selectively catheterizing the artery and crossing the lesion, including all imaging guidance and radiological supervision and interpretation necessary to perform the atherectomy and angioplasty, when performed, within the same artery, unilateral; complex lesion, initial vessel
- Source
- Clinical Review by Code List PBCWA, Pg 318 Original policy