Prior Auth Required

78499 - Unlisted cardiovascular procedure, diagnostic nuclear medicine

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted cardiovascular procedure, diagnostic nuclear medicine
Procedure / Service Description

first pass technique (List separately in addition to code for primary procedure) - 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) first pass technique (List separately in addition to code for primary procedure) 78499 Unlisted cardiovascular procedure, diagnostic nuclear medicine Code NAME/DESCRIPTION COMMENTS 78599 Unlisted respiratory procedure, diagnostic nuclear medicine

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.