Prior Auth Required

0417T - analysis, including review and report, implantable cardiac contractility modulation system

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceanalysis, including review and report, implantable cardiac contractility modulation system
Procedure / Service Description

Repositioning of previously implanted cardiac contractility modulation transvenous electrode, - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with 0417T analysis, including review and report, implantable cardiac contractility modulation system Rare diseases (constitutional/heritable disorders), whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis, nuclear-encoded mitochondrial gene

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.