77049 prior authorization | Blue Cross Blue Shield Oklahoma

77049, Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer- Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Bilateral, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 77049
Description: Magnetic Resonance Imaging Breast Without And With Contrast Material(S) Including Computer- Aided Detection (Cad Real-Time Lesion Detection Characterization And Pharmacokinetic Analysis) When Performed; Bilateral
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 14 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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