Prior Auth Required

78609 - Brain imaging, positron emission tomography (PET); perfusion evaluation 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 / ServiceBrain imaging, positron emission tomography (PET); perfusion evaluation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 78599 Unlisted respiratory procedure, diagnostic nuclear medicine 78608 Brain imaging, positron emission tomography (PET); metabolic evaluation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78609 Brain imaging, positron emission tomography (PET); perfusion evaluation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78699 Unlisted nervous system procedure, diagnostic nuclear medicine 78799 Unlisted genitourinary 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.