Cigna prior authorization for 0710T*: Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability, data review, interpretation and report
Code
0710T*
Description
Noninvasive arterial plaque analysis using software processing of data
from non-coronary computerized tomography angiography; including
data preparation and transmission, quantification of the structure and
composition of the vessel wall and assessment for lipid-rich necrotic core
plaque to assess atherosclerotic plaque stability, data review,
interpretation and report
Source
Master Precertification List
For Health Care Providers, Pg 13 Original policy
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