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.