Premera Blue Cross of Washington prior authorization 95782

Premera Blue Cross of Washington prior authorization for 95782: Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist These criteria do not imply or guarantee approval.

Code: 95782
Description: Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 520 Original policy

Premera Blue Cross of Washington prior authorization

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