77049 prior authorization | Anthem Blue Cross and Blue Shield Virginia
77049, Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokin, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 77049
- Description
- Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokin
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization