75571 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

75571, Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 75571
Description: Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium
Source: New Hampshire Precertification List, Pg 148 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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