Prior Auth Required

78494 - Cardiac blood pool imaging, gated Prior Authorization Required Advanced Imaging Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCardiac blood pool imaging, gated Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

(including ventricular wall motion[s] and/or Authorization: History and Physical, - multiple studies at rest and stress (exercise report. or pharmacologic) 78494 Cardiac blood pool imaging, gated Prior Authorization Required Advanced Imaging Submit online review with Carelon at equilibrium, SPECT, at rest, wall motion www.providerportal.com. For Prior study plus ejection fraction, with or without 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.