Prior Auth Required
78431 - CPET ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceCPET ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently
Procedure / Service Description
1/1/2020 AMA - Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or 1/1/2020 AMA CPET 78431 ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently Yes Additions acquired computed tomography transmission scan
Likely documents
- Confirm benefit details
- Submit clinical notes if requested by the plan
Next actions
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.