Prior Auth Required

72194 - Computed tomography, pelvis; without 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, pelvis; without Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 72194 Computed tomography, pelvis; without Prior Authorization Required Advanced Imaging Submit online review with Carelon at contrast material, followed by contrast www.providerportal.com. For Site of Care, material(s) and further sections 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.