Anthem Blue Cross and Blue Shield New Hampshire prior authorization 75572

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 75572: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)

Code: 75572
Description: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)
Source: New Hampshire Precertification List, Pg 148 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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