Prior Auth Required
73522 - CHG RADEX NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceCHG RADEX NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024
Procedure / Service Description
PEND, MRI SEDATION NON - 73522 CHG RADEX NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024 HIPS Guideline): AND DOCUMENTS TO BILATERAL EXCLUSIONS: MOBILE https://driscollhealthplan.com/prior 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.