What should be in the clinical notes before requesting Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist (CPT 37243)?

Reviewers look for a recent office visit that documents the symptoms and how long they have lasted, exam findings, results of any earlier imaging, treatments already tried and how the patient responded, and the specific question the study is expected to answer. The diagnosis code on the request should match what the notes describe.

CPT 37243: Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist - Prior Authorization and Price

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CPT 37243

Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist.

Other Imaging

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Payer guidelines that apply

Payer	Reviewed using	Guideline	Sections
Aetna	eviCore	Pelvis Imaging Guidelines 2.0.2026, effective Sep 1, 2026	2 that name this code
Anthem BCBS	Carelon	Current guideline	None found
Cigna	eviCore	Pelvis Imaging Guidelines 2.0.2026, effective Sep 1, 2026	2 that name this code
Medicare	CMS	—	None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare	UnitedHealthcare / eviCore	Commercial and Exchange Cardiovascular and Radiology Imaging Guidelines 09.2026, effective Sep 1, 2026	2 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist. Each has its own criteria for when the study is considered appropriate.

Leiomyoma/Uterine Fibroids and other Uterine Masses Aetna · Cigna · UnitedHealthcare
Male Pelvic Disorders Aetna · Cigna · UnitedHealthcare

Typical price

Commercial insurance, median

$12,149

Middle half of rates: $8,659 to $19,186

Medicare, hospital outpatient

$11,794

Facility payment

Medicare, physician fee schedule

$485

National, non-facility

Commercial figures come from negotiated rates published by 747 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist change.

CPT 37243: Embolizing or blocking growths or obstructed vessels, reviewed by a radiologist - Prior Authorization and Price

Payer guidelines that apply

Conditions the guidelines address for this study

Typical price

Get notified when the rules for this study change

Frequently asked questions

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