76376 prior authorization | Anthem Blue Cross Blue Shield of California

76376, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 76376
Description: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation
Source: California PPO Prior Authorization List, Pg 45 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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