74175 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

74175, Computed tomographic angiography, abdomen, 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: 74175
Description: Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing
Source: New Hampshire Precertification List, Pg 147 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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