78494 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

78494, Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 78494
Description: Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without 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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