Anthem Blue Cross and Blue Shield New Hampshire prior authorization 75580

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 75580: Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional

Code: 75580
Description: Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional
Source: New Hampshire Precertification List, Pg 149 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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