Prior Auth Required

78999 - Investigational Unlisted miscellaneous procedure, diagnostic nuclear medicine

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceInvestigational Unlisted miscellaneous procedure, diagnostic nuclear medicine
Procedure / Service Description

imaging - Advanced Imaging 78816 PET imaging with concurrent CT, whole body Investigational 78999 Unlisted miscellaneous procedure, diagnostic nuclear medicine Potential [when specified as mMR combination PET/MRI imaging]

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.