78452 - Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

pharmacologic stress (List separately in addition to code for primary procedure) - quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) 78452 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); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or

• Confirm benefit details
• Submit clinical notes if requested by the plan

• Confirm the current plan policy before submission.
• Use the insurer authorization workflow for this listed code.