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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.
The Current Procedural Terminology (CPT) and Current
Dental Terminology (CDT) codes descriptors, and other data are copyright © 2025 American Medical Association
and © 2025 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.