Prior Auth Required

72120 - PR RADEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR RADEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024
Procedure / Service Description

PEND, MRI SEDATION NON - 72120 PR RADEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024 SPINE AND DOCUMENTS TO LUMBOSACRAL EXCLUSIONS: MOBILE SUPPORT MEDICAL

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.