Prior Auth Required

78472 - Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/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 / ServiceCardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/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) - 78468 Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78469 Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78472 Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing 78473 Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at 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.