Prior Auth Required

72196 - Advanced Imaging MRI, PELVIS W/CONTRAST

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging MRI, PELVIS W/CONTRAST
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 58 - Advanced Imaging 72195 MRI, PELVIS, W/O CONTRAST Advanced Imaging 72196 MRI, PELVIS W/CONTRAST Advanced Imaging 72197 MRI, PELVIS, COMBO

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.