75635 prior authorization | Anthem Blue Cross and Blue Shield Virginia
75635, Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast materi, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 75635
- Description
- Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast materi
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization