Premera Blue Cross of Washington prior authorization 78814
Premera Blue Cross of Washington prior authorization for 78814: Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)
- Code
- 78814
- Description
- Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)
- Source
- Clinical Review by Code List PBCWA, Pg 435 Original policy