78815 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
78815, Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 78815
- Description
- Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh
- Source
- New Hampshire Precertification List, Pg 155 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization