70554 prior authorization | Premera Blue Cross of Washington

70554, Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 70554
Description: Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration
Source: Clinical Review by Code List PBCWA, Pg 395 Original policy

Premera Blue Cross of Washington prior authorization

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