78472 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

78472, Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 78472
Description: Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing
Source: New Hampshire Precertification List, Pg 154 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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