72157 prior authorization | Blue Cross and Blue Shield of Montana

72157, Magnetic Resonance (Eg Proton) Imaging Spinal Canal And Contents Without Contrast Material Followed By Contrast Material(S) And Further Sequences; Thoracic, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 72157
Description: Magnetic Resonance (Eg Proton) Imaging Spinal Canal And Contents Without Contrast Material Followed By Contrast Material(S) And Further Sequences; Thoracic
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 78 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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