Prior Auth Required
78472 - Advanced Imaging Gated equilibrium; planar, single study, wall motion plus ejection
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging Gated equilibrium; planar, single study, wall motion plus ejection
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 67 - Advanced Imaging 78469 SPECT, infarct avid; with or without quantification Advanced Imaging 78472 Gated equilibrium; planar, single study, wall motion plus ejection fraction
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.