Cigna prior authorization for 0808T*: Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) images taken for the purpose of pulmonary tissue ventilation analysis, including data preparation and transmission, quantification of pulmonary tissue ventilation, data review, interpretation and report
Code
0808T*
Description
Pulmonary tissue ventilation analysis using software-based processing of
data from separately captured cinefluorograph images; in combination
with computed tomography (CT) images taken for the purpose of
pulmonary tissue ventilation analysis, including data preparation and
transmission, quantification of pulmonary tissue ventilation, data review,
interpretation and report
Source
Master Precertification List
For Health Care Providers, Pg 14 Original policy
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