75572 prior authorization | Anthem Blue Cross and Blue Shield Nevada

75572, Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 75572
Description: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima
Source: Nevada Prior Authorization List, Pg 83 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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