C8001 prior authorization | Blue Shield of California Promise Health Plan

C8001, 3D anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: C8001
Description: 3D anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy
Source: Medi-Cal Prior Authorization List, Pg 20 Original policy

Blue Shield of California Promise Health Plan prior authorization

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