72191 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

72191, Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 72191
Description: Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing
Source: New Hampshire Precertification List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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