Prior Auth Required

78492 - Cardiac

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceCardiac
Procedure / Service Description

Myocardial imaging, positron emission tomography (PET), perfusion study(including ventricular wall motion[s] and/or 1/1/2020 AMA - ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic) Revision Myocardial imaging, positron emission tomography (PET), perfusion study(including ventricular wall motion[s] and/or 1/1/2020 AMA Cardiac 78492 Yes ejection fraction[s], when performed); multiple studies at rest and/or stress (exercise or pharmacologic) Revision Nuc Card 78494 Cardiac Blood Pool Imaging , SPECT 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.