75580 prior authorization | Anthem Blue Cross and Blue Shield Virginia
75580, Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, wit, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 75580
- Description
- Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, wit
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization