Radiology Prior Authorization CPT Code List ...
cpt code description modality 72132 ct lmbr spi c+ matrl ct 72133 ct lmbr spi c-/c+ ct 72191 ct angiography pelvis w/contrast/ noncontrast ct 72192 ct pelvis c-matrl ct 72193 ct pelvis c+ matrl ct 72194 ct pelvis c-/c+ ct 73200 ct uxtr c-matrl ct 73201 ct uxtr c+ matrl ct 73202 ct uxtr c-/c+ ct 73206 ct angiography upper extremity ct 73700 ct lxtr c-matrl ct 73701 ct lxtr c+ matrl ct
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www.imaginghealthcare.comPELVIS wo 72192 w/ 72193 ABDOMEN AND PELVIS w/wo 74178 Renal Stone (wo) 74176 Urogram (w/wo) 74178 Small Bowel (w/wo) 74178 CHEST AND ABDOMEN w/wo 71260, 74170 ABDOMEN AND PELVIS (ANGIO) w/wo 74175, 72191 *T hese CPT cod s rp s nt t most comm o nly rd er d CT x ams.For coding inquiry not listed ple ase call for assistance 858 658 6500.
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