Prior Auth Required

0804T - pacemaker system in dual cardiac chambers

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicepacemaker system in dual cardiac chambers
Procedure / Service Description

including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right - test the function of device and to select optimal permanent programmed values, with analysis, review, and report, by a physician or other qualified health care professional, leadless 0804T pacemaker system in dual cardiac chambers 0810T Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric

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.