72147 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

72147, Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 72147
Description: Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)
Source: New Hampshire Precertification List, Pg 144 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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