Prior Auth Required

0625T - Coronary plaque quantification via CTA (data analysis only) All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCoronary plaque quantification via CTA (data analysis only) All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Automated quantification & characterization of coronary atherosclerotic plaque (CTA data 0624T All preparation/transmission) Coronary plaque quantification via CTA (data analysis only) 0625T All Coronary plaque quantification via CTA (data review and reconciliation of discordant data) 0626T All Transcutaneous visible light hyperspectral imaging (oxy/deoxyhemoglobin, tissue oxygenation) 0631T All

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.