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75572 - CT

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCT
Procedure / Service Description

Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary - CT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Yes Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D CT 75572 Yes image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of

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  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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