72197 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

72197, Magnetic resonance (eg, proton) imaging, pelvis; 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: 72197
Description: Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences
Source: New Hampshire Precertification List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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