72148 prior authorization | Premera Blue Cross of Washington
72148, Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 72148
- Description
- Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 399 Original policy