Prior Auth Required

0633T - • CT or MR

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service• CT or MR
Procedure / Service Description

Procedures performed in Procedures performed in - patient’s discharge from patient’s discharge from (PET) 78812, 78813, 78814, 78815, the hospital) are not the hospital) are not • CT or MR 78816, 0042T, 0633T, 0634T, included in the Carelon included in the Carelon 0635T, 0636T, 0637T, 0638T, radiology program. radiology program. arthrography

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.