PDF Version
TO:
Physicians, Independent Radiologists, Hospitals and Other Radiology
Providers
RE: Prior
Authorization Requirements for 2026 Radiology CPT Codes
Effective July 1, 2026, the Alabama Medicaid Agency
(Medicaid) will implement prior authorization requirements for the following
procedure codes:
- 70471 – CT scan of blood vessels in the head and neck with contrast
- 70473 – CT scan of brain blood flow with contrast
Providers must obtain prior authorization before providing
these services for Medicaid beneficiaries. Claims submitted without approved
prior authorization may be denied. Additional information regarding how to
obtain prior authorization is available in Chapter 22 of the Provider Billing
Manual.
Providers
with billing questions may contact the Gainwell Technologies Provider
Assistance Center at (800) 688-7989.
The Current Procedural
Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and
other data are copyright © 2026 American Medical Association
and © 2025 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.