Premera Blue Cross of Washington prior authorization 78483

Premera Blue Cross of Washington prior authorization for 78483: Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/ or pharmacologic), wall motion study plus ejection fraction, with or without quantification

Code: 78483
Description: Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/ or pharmacologic), wall motion study plus ejection fraction, with or without quantification
Source: Clinical Review by Code List PBCWA, Pg 433 Original policy

Premera Blue Cross of Washington prior authorization

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