Premera Blue Cross of Washington prior authorization 67218

Premera Blue Cross of Washington prior authorization for 67218: Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) These criteria do not imply or guarantee approval.

Code: 67218
Description: Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 383 Original policy

Premera Blue Cross of Washington prior authorization

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