74178 prior authorization | Blue Cross and Blue Shield of Montana

74178, Computed Tomography Abdomen And Pelvis; Without Contrast Material In One Or Both Body Regions Followed By Contrast Material(S) And Further Sections In One Or Both Body Regions, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 74178
Description: Computed Tomography Abdomen And Pelvis; Without Contrast Material In One Or Both Body Regions Followed By Contrast Material(S) And Further Sections In One Or Both Body Regions
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 82 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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