75573 prior authorization | Anthem Blue Cross and Blue Shield Virginia

75573, Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postproce, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 75573
Description: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postproce
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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