Prior Auth Required

73219 - Mri, Upper Extremity, Other Than Joint; W/Contrast Matl(S)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMri, Upper Extremity, Other Than Joint; W/Contrast Matl(S)
Procedure / Service Description

Computed tomography, thorax, low dose for lung cancer screening, without contrast - 73206 noncontrast images, if performed 73218 Mri, Upper Extremity, Other Than Joint; W/O Contrast Matl(S) 73219 Mri, Upper Extremity, Other Than Joint; W/Contrast Matl(S) Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast 73220 material(s), followed by contrast material(s) and 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.