Prior Auth Required

72133 - Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further 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, lumbar spine; without contrast material, followed by contrast material(s) and further Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 72131 Computed tomography, lumbar spine; without contrast material Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 72132 Computed tomography, lumbar spine; with contrast material Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 72133 Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) sections 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; 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.