Prior Auth Required

78599 - Unlisted respiratory procedure, diagnostic Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceUnlisted respiratory procedure, diagnostic Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

study plus ejection fraction, with or without Authorization: History and Physical, - operative report if surgical) only for the date of service performed. 78599 Unlisted respiratory procedure, diagnostic Medical necessity review will be Medical Necessity Review required at claims submission; nuclear medicine performed upon claims submission submit description of procedure with with supporting documentation. supporting documentation (including

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.