75563 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

75563, Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 75563
Description: Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging
Source: New Hampshire Precertification List, Pg 148 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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