Prior Auth Required

78459 - Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceMyocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular 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) - stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection 78456 Acute venous thrombosis imaging, peptide Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78459 Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) wall motion[s] and/or ejection fraction[s], when performed), single study; 78466 Myocardial imaging, infarct avid, planar; qualitative or quantitative Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)

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.