Blue Cross and Blue Shield of Montana prior authorization G0252

Blue Cross and Blue Shield of Montana prior authorization for G0252: Pet Imaging Full And Partial-Ring Pet Scanners Only For Initial Diagnosis Of Breast Cancer And/Or Surgical Planning For Breast Cancer (E. G. Initial Staging Of Axillary Lymph Nodes)

Code: G0252
Description: Pet Imaging Full And Partial-Ring Pet Scanners Only For Initial Diagnosis Of Breast Cancer And/Or Surgical Planning For Breast Cancer (E. G. Initial Staging Of Axillary Lymph Nodes)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 263 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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