Electroconvulsive Therapy Ect Authorization Request

Medical Necessity Criteria - BCBSM

Electroconvulsive Therapy (ECT): Inpatient Criteria..... 68 Electroconvulsive Therapy (ECT): Outpatient Criteria..... 70 23- Hour Observation Criteria ... The Continued Authorization Request(s) section details the documented present symptoms, behaviors, or functional impairments exhibited by the member at the time of the concurrent ...

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