Prior Auth Required

78433 - 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 - myocardial viability); Code NAME/DESCRIPTION COMMENTS 78433 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); 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.