MHP Prior Authorization User Guide - Maine

Jan 15, 2008 · CPT CODE DESCRIPTION RVU's 73564 complete, including oblique(s), and tunnel, and/or patella and/or standing views 6 73565 both knees, standing, anteroposterior complete, minimum of three views 2 73580 Knee, arthrography, supervision and interpretation only 9 73590 Tibia and fibula, anteroposterior and lateral views 2 73592 Lower extremity ... ................
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