33253
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- The Maze procedure is consideredmedically necessaryfor drug resistant atrial fibrillation or flutter.
- The Maze procedure is consideredmedically necessaryfor individuals with highly symptomatic atrial fibrillation who require open heart surgery for valvular, ischemic, or congenital heart disease.
1 Active Policy
ANTHEM-CG-SURG-05 — CG-SURG-05 Maze Procedure
Related Codes
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