Prior Auth Required

78099 - Unlisted endocrine procedure, diagnostic nuclear medicine

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceUnlisted endocrine procedure, diagnostic nuclear medicine
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 78072 Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) concurrently acquired computed tomography (CT) for anatomical localization 78099 Unlisted endocrine procedure, diagnostic nuclear medicine 78199 Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine 78429 Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

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.