71552 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

71552, Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 71552
Description: Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences
Source: New Hampshire Precertification List, Pg 144 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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