Prior Auth Required

75573 - Computed tomography, heart, with contrast 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, heart, with contrast Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

and morphology (including 3D image Authorization: History and Physical, - structures, if performed) 75573 Computed tomography, heart, with contrast Prior Authorization Required Advanced Imaging Submit online review with Carelon at material, for evaluation of cardiac structure www.providerportal.com. For Prior and morphology in the setting of congenital Authorization: History and Physical,

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.