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Cigna - Prior Authorization Procedure List: Radiology ...

Updated: 1/31 : 1/17/2019 Category CPT CodeCPT Code DescriptionCardiac Catheterization93451 Right heart catheterizationCardiac Catheterization93452 Left heart catheterizationCardiac Catheterization93453 Combined right and left heart catheterizationCardiac Catheterization93454 Catheter placement in coronary artery(s) for coronary angiography;Cardiac Catheterization93455 Catheter placement in coronary artery(s) for coronary angiography; with bypass graftsCardiac Catheterization93456 Catheter placement in coronary artery(s) for coronary angiography; with right heart catheterizationCardiac Catheterization93457 Catheter placement in coronary artery(s) for coronary angiography; with bypass and right heartCardiac Catheterization93458 Catheter placement in coronary artery(s) for coronary angiography; with left heart catheterizationCardiac Catheterization93

Cigna - Prior Authorization Procedure List: Radiology & Cardiology: Updated: 1/31/2019 V1.2019 Effective: 1/17/2019 ... requiring physician or psychologist administration MR. 70555. MRI Brain, functional MRI; requiring physician or psychologist administration of …

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