Prior Auth Required

78494 - Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with 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, SPECT, at rest, wall motion study plus ejection fraction, with or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] - and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic) 78494 Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) without quantitative processing 78496 Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by 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.