Prior Auth Required

76391 - MR elastography All

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceMR elastography All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Remote monitoring – PA pressure sensor (up to 30 days) 93264 All Electrocorticogram from implanted brain neurostimulator – up to 30 days 95836 All MR elastography 76391 All Ross Konno procedure (aortic valve replacement with pulmonary autograft) 33440 All Pattern electroretinography (PERG) 0509T 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.