Prior Auth Required

78453 - Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by 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, planar (including qualitative or quantitative wall motion, ejection fraction by 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) - performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection 78453 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 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.