Prior Auth Required

74150 - Updated: September 1, 2025 Page 46 of 61

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceUpdated: September 1, 2025 Page 46 of 61
Procedure / Service Description

radiology-guidelines/ radiology-guidelines/ - services listed in the services listed in the 73700, 73701, 73702, 73706, 73718, 73719, 73720, 73721, 73722, 73723, 73725, 74150, Updated: September 1, 2025 Page 46 of 61 © 2025 Medica

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.