Premera Blue Cross of Washington prior authorization 95783
Premera Blue Cross of Washington prior authorization for 95783: Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by technologist
- Code
- 95783
- Description
- Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by technologist
- Source
- Clinical Review by Code List PBCWA, Pg 521 Original policy