75635 prior authorization | Anthem Blue Cross Blue Shield of California

75635, CT angiography abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including non- contrast images, if performed, and image post-processing, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 75635
Description: CT angiography abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including non- contrast images, if performed, and image post-processing
Source: California PPO Prior Authorization List, Pg 119 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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