73723 prior authorization | Premera Blue Cross of Washington

73723, Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 73723
Description: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences
Source: Clinical Review by Code List PBCWA, Pg 406 Original policy

Premera Blue Cross of Washington prior authorization

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