78492 prior authorization | Anthem Blue Cross and Blue Shield Virginia
78492, Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 78492
- Description
- Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 30 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization