Prior Auth Required

78429 - Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMyocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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) wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan

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.