Prior Auth Required

78459 - Cardiac

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCardiac
Procedure / Service Description

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall 1/1/2020 AMA - Authorization Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall 1/1/2020 AMA Cardiac 78459 Yes motion[s] and/or ejection fraction[s], when performed), single study Revision Nuc Card 78466 Myocardial Infarction Scan Yes

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.