71552 prior authorization | Anthem Blue Cross Blue Shield of Georgia
71552, Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 71552
- Description
- Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences
- Source
- Standard Local Prior Authorization Code List, Pg 32 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization