Prior Auth Required

0634T - CT Breast with 3D rendering , , , , , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCT Breast with 3D rendering , , , , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - 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 CT Breast with 3D rendering 0633T, 0634T, 0635T, 0636T, 0637T, 0638T All Drug assay, presumptive, ≥30 drugs/metabolites, urine LC-MS/MS with multiple reaction monitoring (MRM) 0227U 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.