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Cardiology Notification and Prior Authorization Program ...

UnitedHeathcare | Prior Authorization UnitedHealthcare Cardiology Notification and Prior Authorization Program Electrophysiology implant CPT code classification table The following chart contains the CPT codes that require Notification or Prior Authorization as part of the UnitedHealthcare Cardiology Notification / Prior Authorization Program . Notification and Prior Authorization numbers represent the specific procedure requested and are valid for 45 calendar days from the date they are issued. To verify specific Notification or Prior Authorization requirements by member, please call 1-866-889-8054. Includes Includes Includes lead removal CPT code CPT Description generator Device type plancement of existing placement device Insertion of new or replacement of permanent pacemaker with 33206 Yes Yes No pacemaker transvenous electrode(s); atrial Insertion of new or replacement of permanent pacemaker with 33207 Yes Yes No pacemaker transvenous electrode(s); ventricular Insertion of new or replacement of permanent pacemaker with pacemaker /.

Yes Yes No Pacemaker 33207 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Yes Yes No Pacemaker 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Yes Yes No Pacemaker/ CRT

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