Anthem/Elevance Health MRI Lower Extremity Joint without contrast prior authorization requirements (2026)

What Anthem/Elevance Health generally requires to approve MRI Lower Extremity Joint without contrast (CPT 73721), for Commercial plans. Yes. Anthem/Elevance Health generally requires prior authorization for MRI Lower Extremity Joint without contrast (CPT 73721).

General reference compiled from public sources, last verified 2026-06-12. This is not a coverage determination or medical advice. Always confirm current requirements with Anthem/Elevance Health before submitting.

Medical-necessity criteria Anthem/Elevance Health generally applies

Knee MRI without contrast is appropriate (per ACR Appropriateness Criteria for Chronic Knee Pain) when initial radiographs are normal/effusion, show OCD/loose bodies or prior cartilage/meniscal repair, or internal derangement is suspected. Obtain radiographs first.

Situations to verify before submitting

Anthem/Elevance Health may not cover MRI Lower Extremity Joint without contrast in these situations. Verify against the current policy rather than assuming a denial:

  • {"text":"Chronic knee pain imaged with MRI before obtaining initial knee radiographs (radiographs are the appropriate first study per ACR criteria)","source":"ACR Appropriateness Criteria: Chronic Knee Pain"}

Source

Advanced imaging PA for Anthem/Elevance is managed by Carelon. Criteria summarized from ACR Appropriateness Criteria Chronic Knee Pain. Source: jacr.org; Carelon radiology program. Last verified 2026-06-12.

Frequently asked questions

Does Anthem/Elevance Health require prior authorization for MRI Lower Extremity Joint without contrast?

Yes. Anthem/Elevance Health generally requires prior authorization for MRI Lower Extremity Joint without contrast (CPT 73721).

What does Anthem/Elevance Health require to approve MRI Lower Extremity Joint without contrast?

Knee MRI without contrast is appropriate (per ACR Appropriateness Criteria for Chronic Knee Pain) when initial radiographs are normal/effusion, show OCD/loose bodies or prior cartilage/meniscal repair, or internal derangement is suspected. Obtain radiographs first. Always confirm against the current Anthem/Elevance Health policy.

How long does a Anthem/Elevance Health prior authorization take?

Turnaround varies by plan and submission method. Check the Anthem/Elevance Health portal for current timeframes.

Submitting MRI Lower Extremity Joint without contrast to Anthem/Elevance Health?

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.

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Other Anthem/Elevance Health prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairCarpal Tunnel SurgeryCT Abdomen and Pelvis with contrastCTA Chest (e.g., pulmonary embolism)Dorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyLumbar Spinal FusionMRI Brain without contrastMRI Cervical Spine without contrastMRI Lumbar Spine without contrast

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy