Prior Auth Required

72197 - Note: Effective Note: Effective imaging (MRI) 72198, 73200, 73201, 73202,

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNote: Effective Note: Effective imaging (MRI) 72198, 73200, 73201, 73202,
Procedure / Service Description

radiology-guidelines/ radiology-guidelines/ - prior authorization. prior authorization. • Magnetic 72149, 72156, 72157, 72158, resonance 72159, 72191, 72192, 72193, 72194, 72195, 72196, 72197, Note: Effective Note: Effective imaging (MRI) 72198, 73200, 73201, 73202, 10/01/2024, prior 10/01/2024, prior • Functional 73206, 73218, 73219, 73220,

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.