Prior Auth Required

78811 - Medicare References: NCD 220.6.16

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMedicare References: NCD 220.6.16
Procedure / Service Description

PET Scan - PET Scan Medicare References: NCD 220.6.16 78811, 78812, 78813, 78814, 78815, 78816 FDG PET for Infection and Inflammation Version 2

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.