74712 prior authorization | Anthem Blue Cross Blue Shield of Georgia
74712, Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single of first gestation, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 74712
- Description
- Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single of first gestation
- Source
- Standard Local Prior Authorization Code List, Pg 35 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization