Prior Auth Required

78494 - Advanced Imaging Gated equilibrium, SPECT, at rest, wall motion study plus ejection

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAdvanced Imaging Gated equilibrium, SPECT, at rest, wall motion study plus ejection
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 67 - Advanced Imaging 78492 PET myocardial, perfusion, multiple studies Advanced Imaging 78494 Gated equilibrium, SPECT, at rest, wall motion study 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.