Radiology Prior Authorization CPT Code List ...
cpt code description modality 72132 ct lmbr spi c+ matrl ct 72133 ct lmbr spi c-/c+ ct 72191 ct angiography pelvis w/contrast/ noncontrast ct 72192 ct pelvis c-matrl ct 72193 ct pelvis c+ matrl ct 72194 ct pelvis c-/c+ ct 73200 ct uxtr c-matrl ct 73201 ct uxtr c+ matrl ct 73202 ct uxtr c-/c+ ct 73206 ct angiography upper extremity ct 73700 ct lxtr c-matrl ct 73701 ct lxtr c+ matrl ct
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