Prior Auth Required

71552 - Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal 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 / ServiceMagnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 71550 Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) lymphadenopathy); without contrast material(s) 71552 Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences 72125 Computed tomography, cervical spine; without contrast material 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.