Prior Auth Required

78432 - Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation 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), combined perfusion with metabolic evaluation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan 78432 Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability);

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.