Prior Auth Required

71552 - Magnetic resonance (eg, proton) imaging, 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 / ServiceMagnetic resonance (eg, proton) imaging, Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - and site of care delivery. 71552 Magnetic resonance (eg, proton) imaging, Prior Authorization Required Advanced Imaging Submit online review with Carelon at chest (eg, for evaluation of hilar and www.providerportal.com. For Site of Care, mediastinal lymphadenopathy); without 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.