75574 prior authorization | Anthem Blue Cross and Blue Shield Virginia

75574, Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, inc, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 75574
Description: Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, inc
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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