Blue Cross and Blue Shield of Montana prior authorization 77049
Blue Cross and Blue Shield of Montana prior authorization for 77049: Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer-Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Bilateral
- Code
- 77049
- Description
- Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer-Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Bilateral
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 85 Original policy