Prior Auth Required

78999 - Unlisted miscellaneous procedure, diagnostic nuclear medicine

This procedure appears on the selected insurer prior authorization source.

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

correction and anatomical localization imaging; whole body - 78816 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation Prior Authorization Required Only if POS is 22 (On Campus-Outpatient Hospital) correction and anatomical localization imaging; whole body 78999 Unlisted miscellaneous procedure, diagnostic nuclear medicine 81162 BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of

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.