Prior Auth Required

72114 - Billing code: – Complete, including bending views. No modifier (both professional and technical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBilling code: – Complete, including bending views. No modifier (both professional and technical
Procedure / Service Description

to all Alliance members. When billing for these services, chiropractors should use only the codes shown below - Billing code: 72100 – Radiologic examination, spine, lumbosacral. No modifier (both professional and technical component), or Modifier 26 (just professional component). Billing code: 72114 – Complete, including bending views. No modifier (both professional and technical component), or Modifier 26 (just professional component). A referral or an Authorization Request is not required.

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.