Prior Auth Required

78453 - Myocardial perfusion imaging, planar 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, planar Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 78453 Myocardial perfusion imaging, planar Prior Authorization Required Advanced Imaging Submit online review with Carelon at (including qualitative or quantitative wall www.providerportal.com. For Prior motion, ejection fraction by first pass or 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.