Radiology Prior Authorization Changes

TO: Physicians, Independent Radiologists, Hospitals, and Other Radiology Providers

RE: Radiology Prior Authorization Changes

Effective January 1, 2026, the Alabama Medicaid Agency (Medicaid) will remove the prior authorization requirement for the following procedures:

TRANSESOPHAGEAL ECHO

· 93312 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report

· 93313 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); placement of transesophageal probe only

· 93314 - Echocardiography, transesophageal, real-time with image documentation (2d) (with or without m-mode recording); image acquisition, interpretation and report only

TRANSTHORACIC ECHO

· 93303 - Transthoracic echocardiography for congenital cardiac anomalies; complete

· 93304 - Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study

· 93306 - Echocardiography, transthoracic, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography

· 93307 - Echocardiography, transthoracic, real-time with image documentation (2d), includes M-mode recording, when performed, complete, without spectral or color doppler echocardiography

· 93308 - Echocardiography, transthoracic, real-time with image documentation (2d), includes M-mode recording, when performed, follow-up or limited study

Providers with billing questions may contact the Gainwell Technologies Provider Assistance Center at 1-800-688-7989.

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