Prior Auth Required

78452 - Myocardial perfusion imaging, tomographic Prior Authorization Required Advanced Imaging Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMyocardial perfusion imaging, tomographic Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

qualitative or quantitative wall motion, Authorization: History and Physical, - 78452 Myocardial perfusion imaging, tomographic Prior Authorization Required Advanced Imaging Submit online review with Carelon at (SPECT) (including attenuation correction, www.providerportal.com. For Prior qualitative or quantitative wall motion, Authorization: History and Physical,

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.