Premera Blue Cross of Washington prior authorization 37278
Premera Blue Cross of Washington prior authorization for 37278: Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, 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 stent placement, atherectomy and angioplasty, when performed, within the same artery, unilateral; complex lesion, each additional vessel (List separately in addition to primary code)
- Code
- 37278
- Description
- Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, 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 stent placement, atherectomy and angioplasty, when performed, within the same artery, unilateral; complex lesion, each additional vessel (List separately in addition to primary code)
- Source
- Clinical Review by Code List PBCWA, Pg 321 Original policy