72133 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
72133, Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 72133
- Description
- Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections
- Source
- New Hampshire Precertification List, Pg 144 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization