Anthem Blue Cross Connecticut Commercial Clinical Policy

Anthem Blue Cross Connecticut RAD.00044 Magnetic Resonance Neurography Form

Effective Date

04/12/2023

Last Reviewed

02/16/2023

Original Document

  Reference



This document addresses the use of magnetic resonance neurography, also known as magnetic resonance neurogram.

Position Statement

Investigational and Not Medically Necessary:

Magnetic resonance neurography is considered investigational and not medically necessary.