72191 prior authorization | Anthem Blue Cross and Blue Shield Virginia

72191, Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and ima, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 72191
Description: Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and ima
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 28 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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