78454 - 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)

pharmacologic stress (List separately in addition to code for primary procedure) - first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) 78454 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); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

• 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.