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76377 - CT, MRI, ultrasound, or other tomographic modality

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCT, MRI, ultrasound, or other tomographic modality
Procedure / Service Description

POLICY NAME: ELECTIVE OUTPATIENT HIGH TECH IMAGING SERVICES - breast cancer (Naviscan) • Three-dimensional (3D) rendering with interpretation and reporting of CT, MRI, ultrasound, or other tomographic modality: 76376, 76377 • Virtual Bronchoscopy: 76497 • Whole body CT/MRI screening (Lifescan imaging): 76497, 76498

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.