Prior Auth Required

72195 - MR Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMR Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)
Procedure / Service Description

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast - CT 72193 Computed tomography, pelvis; with contrast material(s) Yes CT 72194 Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections Yes MR 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Yes MR 72196 Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) Yes Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and

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.