Prior Auth Required

71250 - Computed tomography, thorax, diagnostic; without contrast material Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceComputed tomography, thorax, diagnostic; without contrast material Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) contrast material(s) and further sequences 71250 Computed tomography, thorax, diagnostic; without contrast material Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 71260 Computed tomography, thorax, diagnostic; with contrast material(s) Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

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.