Prior Auth Required

74175 - Computed tomographic angiography, 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 tomographic angiography, 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. 74175 Computed tomographic angiography, Prior Authorization Required Advanced Imaging Submit online review with Carelon at abdomen, with contrast material(s), www.providerportal.com. For Site of Care, including noncontrast images, if performed, 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.