0712T* prior authorization | Cigna

0712T*, Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 0712T*
Description: Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability
Source: Master Precertification List For Health Care Providers, Pg 13 Original policy

Cigna prior authorization

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