78481 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

78481, Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 78481
Description: Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification
Source: New Hampshire Precertification List, Pg 154 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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