Premera Blue Cross of Washington prior authorization 78431
Premera Blue Cross of Washington prior authorization for 78431: 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), with concurrently acquired computed tomography transmission scan
- Code
- 78431
- 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), with concurrently acquired computed tomography transmission scan
- Source
- Clinical Review by Code List PBCWA, Pg 430 Original policy