Premera Blue Cross of Washington prior authorization 92928

Premera Blue Cross of Washington prior authorization for 92928: Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments These criteria do not imply or guarantee approval.

Code: 92928
Description: Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 508 Original policy

Premera Blue Cross of Washington prior authorization

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