74713 Insurance Policy Changes

CPT 74713, in plain terms, covers An additional MRI scan of the fetus during pregnancy to check for abnormalities or complications. CPT 74713 is referenced in 4 tracked payer policy changes from Health Net and Sentara Health Plans. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 74713 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 74713 on AAPC