Prior Auth Required

0626T - CCTA

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCCTA
Procedure / Service Description

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, - using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile 9/1/2021 - AMA discordant data, interpretation and report. Effective 9/1/2021 AMA Additions Investigational Additions CCTA 0626T 1/1/2021 Addition, CT 0633T Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Yes

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.