Prior Auth Required

77047 - Advanced Imaging Magnetic resonance imaging, breast, without contrast material

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging Magnetic resonance imaging, breast, without contrast material
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 62 - unilateral Advanced Imaging 77047 Magnetic resonance imaging, breast, without contrast material; bilateral

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.