Prior Auth Required

78815 - Positron Emission Tomography PET scans require prior authorization

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePositron Emission Tomography PET scans require prior authorization
Procedure / Service Description

Non-Covered Codes The list of codes link takes you to codes that are not covered for Together with CCHP Non-Covered Procedure Code List - L8686; L8687; L8688; L8689; L8695 Positron Emission Tomography PET scans require prior authorization. 78459; 78491; 78492; 78608; 78609; 78811; 78812; 78813; 78814; 78815; 78816; (PET scan) A9597; A9598; G0219; G0235;

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.