74178 prior authorization | Premera Blue Cross of Washington

74178, Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 74178
Description: Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions
Source: Clinical Review by Code List PBCWA, Pg 408 Original policy

Premera Blue Cross of Washington prior authorization

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