MRI Pre-Authorization Guide
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Brain/Head (Non-MRA/MRV) (IAC’s, Pituitary, Etc…)
1. 70551 - MRI Brain without contrast
2. 70552 - MRI Brain with contrast
3. 70553 - MRI Brain with and without contrast
Note:
Due to differing scan protocols or other possible contraindications to contrast at the time of
exam, if possible, we ask that all three codes be pre-authorized.
If MRA or MRV is also being requested, please pre-authorize separately using the MRA codes.
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