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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 Catheterization93459 Catheter placement in coronary artery(s) for coronary angiography; with left heart and bypass graftsCardiac Catheterization93460 Catheter placement in coronary artery(s) for coronary angiography; with right and left heartCardiac Catheterization93461 Catheter placement i

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral

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