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eviCore Head Imaging Guidelines - Effective 2/14/2020

    https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/cardiology-and-radiology/2020/evicore_head_eff021420_pub101519.pdf
    MRI may be performed for these indications following an initial CT: MRI Brain without and with contrast (CPT® 70553) may be performed to follow - up abnormalities seen on CT Head without contrast (CPT® 70450) when a mass, lesion, or infection is found. MRI …

Medicare advanced diagnostic imaging rules start Jan. 1, …

    https://www.ismanet.org/ISMA/Resources/e-Reports/2-6-20/Medicare_advanced_diagnostic_imaging_rules_start_Jan_1_2021.aspx
    Beginning Jan. 1, 2021, the Centers for Medicare & Medicaid Services will require physicians and practices that order advanced diagnostic imaging services for …

MRI - Mayo Clinic

    https://www.mayoclinic.org/tests-procedures/mri/about/pac-20384768

    MRI Pre-Authorization Guide MRI/MRA Categories

      https://www.mclarenhealthplan.org/Uploads/Public/Documents/Northern/forms/MRI_Preauth_Guide.pdf
      MRI Misc Codes 77084 - MRI Bone Marrow Blood Supply 73721 - MRI Extremity Signature Protocol 77021 - MRI Guidance for Needle Placement 77022 - MRI Guided Tissue …

    Brain MRI: What It Is, Purpose, Procedure & Results

      https://my.clevelandclinic.org/health/diagnostics/22966-brain-mri
      A brain MRI (magnetic resonance imaging) scan, also called a head MRI, is a painless procedure that produces very clear images of the structures inside of your head — …

    How to Get a Prior Authorization Request Approved

      https://www.verywellhealth.com/how-to-get-a-prior-authorization-request-approved-1739073
      Your insurance company determines the medical necessity of health care services, treatment plans, medications, or equipment in advance of your receiving care. If your insurance requires pre …

    Outpatient High Technology Diagnostic Imaging: …

      https://www.fepblue.org/-/media/PDFs/Utilization%20Management%20Guidelines/04-21-2020/FEP%20UM%20Guideline%20003%20Outpatient%20High%20Technology%20Diagnostic%20Imaging.pdf
      specifically computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET) in the outpatient setting. The advancements in …

    Radiology Prior Authorizations – What Practices Should Know

      https://www.outsourcestrategies.com/blog/radiology-prior-authorizations-what-practices-should-know/
      A single authorization for CPT code 70540, 70542, or 70543 includes imaging of the Orbit, Face, Sinuses, and Neck. Multiple authorizations are not required. …

    Magnetic Resonance Imaging (MRI) and Angiography

      https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0487.magnetic-resonance-imaging-(mri)-and-angiography-(mra).01012021.pdf
      authorization is not required for the emergency department, facility observation setting or inpatient setting. DESCRIPTION Magnetic Resonance Imaging (MRI) is a radiologic …

    Anthem Medical Policies for Radiology - AIM Specialty …

      https://aimspecialtyhealth.com/anthem185/radiology/
      Brain Imaging effective September 1 – December 17, 2022 Brain Imaging effective March 13 -August 31, 2022 for commercial, Medicare, and Medicaid except …



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