Prior Auth Required

72040 -  - Skull <4V  -Spine Cervical 2 or 3V  - Shoulder min  - Hip unilateral min

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service - Skull <4V  -Spine Cervical 2 or 3V  - Shoulder min  - Hip unilateral min
Procedure / Service Description

HEAD & NECK SPINE & PELVIS UPPER EXTREMITIES LOWER EXTREMITIES - X-RAY TYPE: **CPT CODES NOT LISTED REQUIRE SUBMISSION OF ROUTINE REFERRAL FORM** HEAD & NECK SPINE & PELVIS UPPER EXTREMITIES LOWER EXTREMITIES 70250 - Skull <4V  72040-Spine Cervical 2 or 3V  73030 - Shoulder min  73502 - Hip unilateral min 70486-CT Sinus Survey 2V 2V  72070-Spine Thoracic 2V  73070 - Elbow 2V  73521 - Hip bilateral min 2V

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.