Molina Prior Authorization for CPT 73721

MRI joint of lower extremity without contrast in FL

Reviewed by D3rx Clinical Billing Team
Last updated: March 29, 2026
Prior Authorization Required

Documents Needed

  • Clinical notes

Clinical Criteria

Molina Healthcare prior authorization required (Medicaid)

Source: Molina Healthcare Medicaid PA Lists (OH, SC, WA, TX, VA Combined)

Submission Tips

Document medical necessity thoroughly before submitting. Include clinical notes, relevant test results, and a clear rationale for why CPT 73721 is appropriate for the patient's condition.

About CPT 73721

CPT 73721MRI joint of lower extremity without contrast. Prior authorization requirements vary by payer, plan type, and state. Molina requires prior authorization for this procedure in FL.

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CPT 73721 with Other Payers

Medical Billing Disclaimer

The information provided on this page is for educational and informational purposes only. While we strive to maintain the most current and accurate prior authorization data, requirements change frequently and vary by individual plan type. Always verify prior authorization requirements directly with the payer before performing a procedure. D3rx is not responsible for any claim denials or reimbursement issues.