Prior Auth Required

73719 - 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

contrast material(s) Authorization: History and Physical, - results of previous diagnostics procedure report. 73719 Magnetic resonance (eg, proton) imaging, Prior Authorization Required Advanced Imaging Submit online review with Carelon at lower extremity other than joint; with www.providerportal.com. For Site of Care, contrast material(s) 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.