Prior Auth Required

0412T - Removal of permanent cardiac contractility modulation system; pulse generator only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRemoval of permanent cardiac contractility modulation system; pulse generator only
Procedure / Service Description

Insertion or replacement of permanent cardiac contractility modulation system, including - Psychiatry (eg, depression, anxiety, attention deficit hyperactivity disorder [ADHD]), genomic 0411U analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 0412T Removal of permanent cardiac contractility modulation system; pulse generator only Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography 0412U with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.