S0022
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low 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.
2 Active Policies
ANTHEM-SURG.00155 — SURG.00155 Cryosurgery of Peripheral Nerves
ANTHEM-CG-SURG-05 — CG-SURG-05 Maze Procedure
Related Codes
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