74178 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
74178, Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 74178
- Description
- Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions
- Source
- New Hampshire Precertification List, Pg 147 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization