Prior Auth Required

76499 - Investigational Unlisted diagnostic radiographic procedure [when specified as 4-D

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInvestigational Unlisted diagnostic radiographic procedure [when specified as 4-D
Procedure / Service Description

Potential - neurography] or [when specified as MPRAGE MRI] Investigational 76499 Unlisted diagnostic radiographic procedure [when specified as 4-D Potential or 5-D rendering of fetal ultrasound]

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.