Anthem Blue Cross and Blue Shield New Hampshire prior authorization 78492

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 78492: Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)

Code: 78492
Description: Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)
Source: New Hampshire Precertification List, Pg 154 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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