Prior Auth Required

72040 - Billing code: – Radiologic examination of spine (including cervical spine). No modifier (both

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceBilling code: – Radiologic examination of spine (including cervical spine). No modifier (both
Procedure / Service Description

to all Alliance members. When billing for these services, chiropractors should use only the codes shown below - to all Alliance members. When billing for these services, chiropractors should use only the codes shown below with an appropriate modifier: See Policy 600-1036 – Modifier Reference Grid for assistance. Billing code: 72040 – Radiologic examination of spine (including cervical spine). No modifier (both professional and technical component), or Modifier 26 (just professional component). Billing code: 72052 – Complete X-ray, including oblique and flexion and/or extension studies. No modifier

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.