Prior authorization codes
McLaren Health Plan
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 78451 | Baseline Nuclear Perfusion ( ) | 2026-07-06 | Not listed | 97% | [PDF] PET/CT Order Form - McLaren Health Plan |
| 78459 | Myocardial Viability ( ) | 2026-07-06 | Not listed | 97% | [PDF] PET/CT Order Form - McLaren Health Plan |
| 78608 | Standard Body ( ) (routine use) Alzheimer’s vs Frontal Temporal Dementia ( ) | 2026-07-06 | Not listed | 97% | [PDF] PET/CT Order Form - McLaren Health Plan |
| 78815 | Standard Body ( ) (routine use) Alzheimer’s vs Frontal Temporal Dementia ( ) | 2026-07-06 | Not listed | 97% | [PDF] PET/CT Order Form - McLaren Health Plan |
| 78816 | Whole Body ( ) (melanoma or cancer below knee) | 2026-07-06 | Not listed | 97% | [PDF] PET/CT Order Form - McLaren Health Plan |