Premera Blue Cross of Washington prior authorization 75580

Premera Blue Cross of Washington prior authorization for 75580: Noninvasive estimate of coronary fractional flow reserve derived from augmentative software analysis of the data set from a coronary computed tomography angiography

Code
75580
Description
Noninvasive estimate of coronary fractional flow reserve derived from augmentative software analysis of the data set from a coronary computed tomography angiography
Source
Clinical Review by Code List PBCWA, Pg 412 Original policy

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