75573 prior authorization | Anthem Blue Cross and Blue Shield Nevada
75573, Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postproce, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 75573
- Description
- Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postproce
- Source
- Nevada Prior Authorization List, Pg 84 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization