72156 prior authorization | Premera Blue Cross of Washington

72156, Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 72156
Description: Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical
Source: Clinical Review by Code List PBCWA, Pg 400 Original policy

Premera Blue Cross of Washington prior authorization

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