Prior Auth Required

81420 - Do not require authorization MRI, MRA – if not ordered by a Neurosurgeon, Neurologist o r Orthopedic MD Clinician Administered Drugs

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceDo not require authorization MRI, MRA – if not ordered by a Neurosurgeon, Neurologist o r Orthopedic MD Clinician Administered Drugs
Procedure / Service Description

Authorization not required Genetic Testing (to includes office-based testing) - Authorization not required Genetic Testing (to includes office-based testing) 81420, 81220, 81329 - Do not require authorization MRI, MRA – if not ordered by a Neurosurgeon, Neurologist o r Orthopedic MD Clinician Administered Drugs Rx Medical Injectables: Any injectable medication, including chemotherapy, for Medicaid

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.