72191 prior authorization | Anthem Blue Cross Blue Shield of Colorado

72191, Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and ima, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 72191
Description: Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and ima
Source: Colorado Prior Authorization List, Pg 88 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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