Prior Auth Required

72100 - CHEST  -Spine Lumbosacral 2-3V  - Forearm 2V  – Femur 2V

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCHEST  -Spine Lumbosacral 2-3V  - Forearm 2V  – Femur 2V
Procedure / Service Description

HEAD & NECK SPINE & PELVIS UPPER EXTREMITIES LOWER EXTREMITIES - 70486-CT Sinus Survey 2V 2V  72070-Spine Thoracic 2V  73070 - Elbow 2V  73521 - Hip bilateral min 2V CHEST  72100-Spine Lumbosacral 2-3V  73090 - Forearm 2V  73552 – Femur 2V 71045 –1V  72170 -Pelvis 1V  73100 - Wrist 2V  73560 - Knee 1 or 2V 71046 –2V  72220-Sacrum & coccyx min 2V  73120 - Hand 2V  73590 - Tibia & Fibula 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.