Prior Auth Required

78816 - Positron emission tomography (PET) with 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 / ServicePositron emission tomography (PET) with Prior Authorization Required Advanced Imaging Submit online review with Carelon at
Procedure / Service Description

and anatomical localization imaging; skull results of previous diagnostics procedure - base to mid-thigh report. No review needed when billed with code A9588. 78816 Positron emission tomography (PET) with Prior Authorization Required Advanced Imaging Submit online review with Carelon at concurrently acquired computed www.providerportal.com. For Prior tomography (CT) for attenuation correction 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.