Prior Auth Required

78433 - tomography transmission scan

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicetomography transmission scan
Procedure / Service Description

Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic - evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability); with concurrently acquired computed 78433 tomography transmission scan Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique,

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.