75574 prior authorization | Blue Cross Blue Shield Oklahoma
75574, Computed Tomographic Angiography Heart Coronary Arteries And Bypass Grafts (When Present) With Contrast Material Including 3D Image Postprocessing (Including Evaluation Of Cardiac Structure And Morphology Assessment Of Cardiac Function And Evaluation Of Venous Structures If Performed), is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.
- Code
- 75574
- Description
- Computed Tomographic Angiography Heart Coronary Arteries And Bypass Grafts (When Present) With Contrast Material Including 3D Image Postprocessing (Including Evaluation Of Cardiac Structure And Morphology Assessment Of Cardiac Function And Evaluation Of Venous Structures If Performed)
- Source
- 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 27 Original policy