0946T prior authorization | Blue Shield of California Promise Health Plan

0946T, Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report (including CT scan of the joint or extremity performed with paired views), is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: 0946T
Description: Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report (including CT scan of the joint or extremity performed with paired views)
Source: Medi-Cal Prior Authorization List, Pg 19 Original policy

Blue Shield of California Promise Health Plan prior authorization

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