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Anthem Blue Cross Blue Shield of California prior authorization C7568

Anthem Blue Cross Blue Shield of California prior authorization for C7568: Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real- time review and interpretation of possible atherosclerotic stenosis(es) intervention (List separately in addition to code for primary procedure)

Code
C7568
Description
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real- time review and interpretation of possible atherosclerotic stenosis(es) intervention (List separately in addition to code for primary procedure)
Source
California PPO Prior Authorization List, Pg 159 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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