Prior Auth Required

78811 - Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) 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 / ServicePositron emission tomography (PET) imaging; limited area (eg, chest, head/neck) Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 78699 Unlisted nervous system procedure, diagnostic nuclear medicine 78799 Unlisted genitourinary procedure, diagnostic nuclear medicine 78811 Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78812 Positron emission tomography (PET) imaging; skull base to mid-thigh Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) 78813 Positron emission tomography (PET) imaging; whole body 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.