Prior Auth Required

72195 - Mri, Pelvis; W/O Contrast Matl(S)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceMri, Pelvis; W/O Contrast Matl(S)
Procedure / Service Description

Computed tomography, thorax, low dose for lung cancer screening, without contrast - 72193 Ct Scan, Pelvis; W/Contrast 72194 Ct Scan, Pelvis; W/O Contrast, Then W/Contrast & Further Sections 72195 Mri, Pelvis; W/O Contrast Matl(S) 72196 Mri, Pelvis; W/Contrast Matl(S) 72197 Mri, Pelvis; W/O Contrast Matl(S), Followed By Contrast Matl(S) & Further Sequences

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.