0638T prior authorization | Anthem Blue Cross Blue Shield of Georgia
0638T, Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 0638T
- Description
- Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s)
- Source
- Standard Local Prior Authorization Code List, Pg 81 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization