Closure Devices for Patent Foramen Ovale and Atrial Septal Defects

BCBS Montana · PayerPolicy · BCBSMT-SUR707.024

Summary of the payer’s published policy. Not a coverage determination — confirm with BCBS Montana before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
93580	CPT	Covered
C1817	HCPCS	Covered