0042T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0042T, Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0042T
Description: Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time
Source: New Hampshire Precertification List, Pg 18 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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