75565 prior authorization | Premera Blue Cross of Washington

75565, Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) 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: 75565
Description: Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 410 Original policy

Premera Blue Cross of Washington prior authorization

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