Cohere Health’s Scope of Management
HealthPartners, Advanced Imaging Services
Effective July 1, 2025
Overview
Effective July 1, 2025 Cohere will manage prior authorization requests with a date on or after August 1, 2025 for the specific services listed below.
Please note, in addition to the procedure codes found on Prior Authorization Lists (PAL), other request criteria may impact submission requirements. If you have questions, please reference this contact page for assistance.
Impacted Plans and Geographies
These changes apply to commercial plans, Medicare plans, Medicaid plans and MSHO.
Clinical Scope
Practices must use Cohere when requesting preauthorization for any of the procedure codes or services listed in the table below.
For more information and to view the official and most up to date HealthPartners Preauthorization List (PAL), please visit healthpartners.com
Use Cohere to obtain preauthorizations for the following procedure codes:
Advanced Imaging | Advanced Imaging |
Service Category | Procedure Codes (HCPCS) |
Computed Tomography (CT) | 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 70496, 70498, 71250, 71260, 71270, 71275, 72125, 72126, 72127, 72128, 72129, 72130, 72131, 72132, 72133, 72191, 72192, 72193, 72194, 73200, 73201, 73202, 73206, 73700, 73701, 73702, 73706, 74150, 74160, 74170, 74174, 74175, 74176, 74177, 74178, 74261, 74262, 75635 |
Magnetic Resonance Angiography (MRA) | 70544, 70545, 70546, 70547, 70548, 70549, 71555, 72159, 72198, 73225, 73725, 74185, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8931, C8932, C8933, C8934, C8935, C8936 |
Magnetic Resonance Imaging (MRI) | 70336, 70540, 70542, 70543, 70551, 70552, 70553, 70554, 70555, 71550, 71551, 71552, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, 74183, 77046, 77048, 77084, C8903, C8905, S8037 |
Positron Emission Tomography (PET) | 78608, 78609, 78812, 78813, 78814, 78815, 78816, G0219, G0235, G0252 |
Please note that issuance of an approval decision for any preauthorization request does not represent a guarantee of payment. Always refer to HealthPartners official Preauthorization Lists (PAL) at healthpartners.com (Path: Provider/Coverage Criteria) for the most up to date preauthorization requirements, coverage policies, and related plan policies.