Prior Auth Required

78999 - Positron emission tomography (FDG) for Experimental, investigational, or

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServicePositron emission tomography (FDG) for Experimental, investigational, or
Procedure / Service Description

Coverage with Evidence Development - PleximarkTM®, risk for kidney transplant 0018M Experimental, investigational, or rejection unproven Positron emission tomography (FDG) for 78999 Experimental, investigational, or infection/inflammation (e.g., chronic osteo- unproven myelitis, infection of hip arthroplasty and

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.