ALERTs

Radiology Prior Authorization Changes

12/5/2025

PDF Version


TO:  Physicians, Independent Radiologists, Hospitals, and Other Radiology Providers

 

RE:  Radiology Prior Authorization Changes

 

 

Effective January 1, 2026, the Alabama Medicaid Agency (Medicaid) will remove the prior authorization requirement for the following procedures:

 

TRANSESOPHAGEAL ECHO

·         93312 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report

·         93313 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); placement of transesophageal probe only

·         93314 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only
 

TRANSTHORACIC ECHO

·         93303 - Transthoracic echocardiography for congenital cardiac anomalies; complete

·        93304 - Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study

·         93306 - Echocardiography, transthoracic, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography

·         93307 - Echocardiography, transthoracic, real-time with image documentation (2d), includes M-mode recording, when performed, complete, without spectral or color doppler echocardiography

·         93308 - Echocardiography, transthoracic, real-time with image documentation (2d), includes M-mode recording, when performed, follow-up or limited study
 

Providers with billing questions may contact the Gainwell Technologies Provider Assistance Center at 1-800-688-7989.


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