Premera Blue Cross of Washington prior authorization 71552

Premera Blue Cross of Washington prior authorization for 71552: Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences These criteria do not imply or guarantee approval.

Code: 71552
Description: Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 396 Original policy

Premera Blue Cross of Washington prior authorization

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