Prior Auth Required

0612T - MR

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMR
Procedure / Service Description

INVESTIGATIONAL - discs Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or 1/1/2021 Addition, MR 0612T Yes lumbar); interpretation and report INVESTIGATIONAL Removal and replacement of substernal implantable

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.