Prior Auth Required

77062 - Mammogram or Mammography , , , , , , Female members under age 40 (exception

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMammogram or Mammography , , , , , , Female members under age 40 (exception
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Diagnostics continued CT Colonography 74261, 74262, 74263 All Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin 96931, 96932, 96933, 96934, 96935, 96936 All Mammogram or Mammography G0279, 77061, 77062, 77063, 77065, 77066, 77067 Female members under age 40 (exception noted) Colonoscopy G0105, G0121, 44388–44392, 44394, 44401–44408, 45378, 45379, 45380, 45381, 45382, 45383, 45384, 45385, 45386, 45388, Members ages 18–44 require authorization

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.