Prior Auth Required

78491 - 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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Prior authorizationPrior Auth Required
Procedure / ServicePrior 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) - 78483 Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification 78491 Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], 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.