Prior Auth Required

91200 - (Ultrasound, Acoustic (Ultrasound, Acoustic

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service(Ultrasound, Acoustic (Ultrasound, Acoustic
Procedure / Service Description

codes are not listed. - medical policy for criteria. Elastography Elastography Not required NA 76391, 76981, 76982, NA (Ultrasound, Acoustic (Ultrasound, Acoustic 76983, 91200 Radiation Force Radiation Force Impulse Imaging and Impulse Imaging and

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.