93351 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

93351, Echocardiography, transthoracic, real- time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code

93351

Description

Echocardiography, transthoracic, real- time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional

Source

New Hampshire Precertification List, Pg 188 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization