Prior Auth Required

78430 - Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] 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), perfusion study (including ventricular wall motion[s] Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan 78430 Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic), 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.