0638T prior authorization | Blue Cross and Blue Shield of Montana

0638T, Computed Tomography Breast Including 3D Rendering When Performed Bilateral; Without Contrast Followed By Contrast Material(S), is on the Blue Cross and Blue Shield of Montana commercial 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: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 243 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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