Prior Auth Required

78451 - Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or 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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Procedure / ServiceMyocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

pharmacologic stress (List separately in addition to code for primary procedure) - 78434 Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) pharmacologic stress (List separately in addition to code for primary procedure) 78451 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

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.