Prior Auth Required

78803 - performed)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceperformed)
Procedure / Service Description

radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when - Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when 78803 performed) 78811 Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) 78812 Positron emission tomography (PET) imaging; skull base to mid-thigh

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.