Premera Blue Cross of Washington prior authorization 61864

Premera Blue Cross of Washington prior authorization for 61864: Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site without use of intraoperative microelectrode recording; each additional array

Code: 61864
Description: Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site without use of intraoperative microelectrode recording; each additional array
Source: Clinical Review by Code List PBCWA, Pg 364 Original policy

Premera Blue Cross of Washington prior authorization

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