70472 prior authorization | Premera Blue Cross of Washington

70472, Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in addition to code for primary procedure), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 70472
Description: Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in addition to code for primary procedure)
Source: Clinical Review by Code List PBCWA, Pg 390 Original policy

Premera Blue Cross of Washington prior authorization

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