Aetna MRI Cervical Spine without contrast prior authorization requirements (2026)
What Aetna generally requires to approve MRI Cervical Spine without contrast (CPT 72141), for Commercial plans. Yes. Aetna generally requires prior authorization for MRI Cervical Spine without contrast (CPT 72141).
Medical-necessity criteria Aetna generally applies
Cervical spine MRI is appropriate (per ACR Appropriateness Criteria for Cervical Neck Pain or Cervical Radiculopathy) for new or increasing cervical radiculopathy (noncontrast MRI), suspected myelopathy, or suspected infection or known malignancy (MRI without and with contrast). For neck pain without red flags or radiculopathy, radiographs are the appropriate initial imaging.
Situations to verify before submitting
Aetna may not cover MRI Cervical Spine without contrast in these situations. Verify against the current policy rather than assuming a denial:
- {"text":"Uncomplicated mechanical neck pain without radiculopathy, myelopathy, or red flags (radiographs are the appropriate initial imaging per ACR criteria)","source":"ACR Appropriateness Criteria: Cervical Neck Pain or Cervical Radiculopathy (2024 Update)"}
Source
Advanced imaging PA for Aetna is managed by eviCore. Criteria summarized from ACR Appropriateness Criteria Cervical Neck Pain or Cervical Radiculopathy (2024). Source: jacr.org; eviCore radiology program. Last verified 2026-06-12.
Frequently asked questions
Does Aetna require prior authorization for MRI Cervical Spine without contrast?
Yes. Aetna generally requires prior authorization for MRI Cervical Spine without contrast (CPT 72141).
What does Aetna require to approve MRI Cervical Spine without contrast?
Cervical spine MRI is appropriate (per ACR Appropriateness Criteria for Cervical Neck Pain or Cervical Radiculopathy) for new or increasing cervical radiculopathy (noncontrast MRI), suspected myelopathy, or suspected infection or known malignancy (MRI without and with contrast). For neck pain without red flags or radiculopathy, radiographs are the appropriate initial imaging. Always confirm against the current Aetna policy.
How long does a Aetna prior authorization take?
Turnaround varies by plan and submission method. Check the Aetna portal for current timeframes.
Submitting MRI Cervical Spine without contrast to Aetna?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.