74175 prior authorization | Anthem Blue Cross and Blue Shield Virginia

74175, Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and im, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 74175
Description: Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and im
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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