75572 prior authorization | Anthem Blue Cross and Blue Shield Virginia

75572, Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 75572
Description: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima
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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