76376 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

76376, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 76376
Description: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation
Source: New Hampshire Precertification List, Pg 149 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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