CSHCN 2009 > Diagnostic Radiology Services > Benefits, Limitations, and Authorization Requirements

16.2.7.1 MRI Authorization Requirements

Authorization is not required for up to four MRI procedures per year.

Prior authorization will be considered for any additional MRI procedures with documentation of a severe or life-threatening medical condition that:

•Requires close monitoring with MRI to determine appropriate treatment.

•Could progress to death or severe disability without such monitoring or treatment.

Refer to: Section 4.3, "Prior Authorizations" for detailed information about prior authorization requirements.