Prior Auth Required

75574 - Computed tomographic angiography, Prior Authorization Required Advanced Imaging Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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 - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 75574 Computed tomographic angiography, Prior Authorization Required Advanced Imaging Submit online review with Carelon at heart, coronary arteries and bypass grafts www.providerportal.com. For Prior (when present), with contrast material, 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.