75557 prior authorization | Anthem Blue Cross and Blue Shield Virginia

75557, Cardiac magnetic resonance imaging for morphology and function without contrast material, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 75557
Description: Cardiac magnetic resonance imaging for morphology and function without contrast material
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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