Premera Blue Cross of Washington prior authorization 78429

Premera Blue Cross of Washington prior authorization for 78429: Myocardial imaging, positron emission tomography (pet), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan

Code: 78429
Description: Myocardial imaging, positron emission tomography (pet), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan
Source: Clinical Review by Code List PBCWA, Pg 430 Original policy

Premera Blue Cross of Washington prior authorization

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