Prior Auth Required

72191 - Advanced Imaging CT angiography pelvis, with contrast, including non- contrast

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging CT angiography pelvis, with contrast, including non- contrast
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 58 - Advanced Imaging 72159 MR angiography spinal canal Advanced Imaging 72191 CT angiography pelvis, with contrast, including non- contrast images, if performed

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.