78814 prior authorization | Blue Cross and Blue Shield of Montana

78814, Positron Emission Tomography (Pet) With Concurrently Acquired Computed Tomography (Ct) For Attenuation Correction And Anatomical Localization Imaging; Limited Area (Eg Chest Head/Neck), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 78814
Description: Positron Emission Tomography (Pet) With Concurrently Acquired Computed Tomography (Ct) For Attenuation Correction And Anatomical Localization Imaging; Limited Area (Eg Chest Head/Neck)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 98 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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