74262 prior authorization | Premera Blue Cross of Washington

74262, Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non- contrast images, if performed, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 74262
Description: Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non- contrast images, if performed
Source: Clinical Review by Code List PBCWA, Pg 409 Original policy

Premera Blue Cross of Washington prior authorization

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