Prior Auth Required

76497 - Unlisted computed tomography procedure (eg, diagnostic, interventional) 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 / ServiceUnlisted computed tomography procedure (eg, diagnostic, interventional) Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 76000 Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time 76496 Unlisted fluoroscopic procedure (eg, diagnostic, interventional) 76497 Unlisted computed tomography procedure (eg, diagnostic, interventional) Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 76498 Unlisted magnetic resonance procedure (eg, diagnostic, interventional) 76499 Unlisted diagnostic radiographic procedure

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.