Prior Auth Required
73222 - 70450 70496 70552 72125 72147 72196 73223 73725 74185 76497 78014 78140 78232 78306 78601 78701 78804 C8901 C8918 G0297
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service70450 70496 70552 72125 72147 72196 73223 73725 74185 76497 78014 78140 78232 78306 78601 78701 78804 C8901 C8918 G0297
Procedure / Service Description
Advanced Imaging and Special Tests - All codes found in this section must be sent to Evicore for processing Advanced Imaging and Special Tests 70336 70492 70551 71555 72146 72195 73222 73723 74183 76390 78013 78104 78231 78305 78600 78700 78803 C8900 C8914 G0252 70450 70496 70552 72125 72147 72196 73223 73725 74185 76497 78014 78140 78232 78306 78601 78701 78804 C8901 C8918 G0297 70460 70498 70553 72126 72148 72197 73225 74150 74261 76498 78015 78185 78258 78315 78605 78707 78811 C8902 C8919 S8037
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.