Prior Auth Required

72158 - Advanced Imaging MRI, LUMBAR SPINE COMBO

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging MRI, LUMBAR SPINE COMBO
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 58 - Advanced Imaging 72157 MRI, DORSAL SPINE COMBO Advanced Imaging 72158 MRI, LUMBAR SPINE COMBO Advanced Imaging 72159 MR angiography spinal canal

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.