Blue Cross and Blue Shield of Montana prior authorization 78803

Blue Cross and Blue Shield of Montana prior authorization for 78803: Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Tomographic (Spect) Single Area (Eg Head Neck Chest Pelvis) Or Acquisition Single Day Imaging

Code: 78803
Description: Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Tomographic (Spect) Single Area (Eg Head Neck Chest Pelvis) Or Acquisition Single Day Imaging
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 97 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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