Premera Blue Cross of Washington prior authorization G0252
Premera Blue Cross of Washington 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
- Clinical Review by Code List PBCWA, Pg 683 Original policy