Prior Auth Required

78454 - Advanced Imaging Myocardial perfusion imaging, planar (including qualitative or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging Myocardial perfusion imaging, planar (including qualitative or
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 66 - Advanced Imaging 78454 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated

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.