Premera Blue Cross of Washington prior authorization 93655

Premera Blue Cross of Washington prior authorization for 93655: Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure) These criteria do not imply or guarantee approval.

Code: 93655
Description: Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 518 Original policy

Premera Blue Cross of Washington prior authorization

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