Prior Auth Required

73200 - Computed tomography, upper extremity; 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, upper extremity; 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 73200 Computed tomography, upper extremity; 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.