Prior Auth Required

77049 - Magnetic resonance imaging, breast, 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 imaging, breast, Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - and pharmacokinetic analysis), when and site of care delivery. performed; unilateral 77049 Magnetic resonance imaging, breast, Prior Authorization Required Advanced Imaging Submit online review with Carelon at without and with contrast material(s), www.providerportal.com. For Site of Care, including computer-aided detection (cad 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.