Prior Auth Required

71250 - Computed tomography, thorax, diagnostic; Prior Authorization Required Advanced Imaging Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceComputed tomography, thorax, diagnostic; Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

neurofunctional testing results of previous diagnostics procedure - neurofunctional testing results of previous diagnostics procedure report. 71250 Computed tomography, thorax, diagnostic; Prior Authorization Required Advanced Imaging Submit online review with Carelon at without contrast material www.providerportal.com. For Site of Care, include history and physical, with results

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.