Transcription of Magnetic Resonance Imaging (MRI) and Computed …
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Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan Site of Service Page 1 of 8 UnitedHealthcare Commercial Utilization Review Guideline Effective 04/01/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. UnitedHealthcare Commercial Utiliza tion Review Guideline Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan Site of Service Guideline Number: Effective Date: April 1, 2022 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Documentation Requirements.
imaging in a physician’s office or freestanding imaging center would reasonably be expected to delay care adversely and impact health outcome. All other advanced radiologic imaging procedures in the hospital outpatient department are considered not medically necessary. Related Commercial Policies • Breast Imaging for Screening and Diagnosing
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