Premera Blue Cross of Washington prior authorization 93228
Premera Blue Cross of Washington prior authorization for 93228: External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional These criteria do not imply or guarantee approval.
- Code
- 93228
- Description
- External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 510 Original policy