78496 prior authorization | Blue Cross Blue Shield Oklahoma

78496, Cardiac Blood Pool Imaging Gated Equilibrium Single Study At Rest With Right Ventricular Ejection Fraction By First Pass Technique (List Separately In Addition To Code For Primary Procedure), is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 78496
Description: Cardiac Blood Pool Imaging Gated Equilibrium Single Study At Rest With Right Ventricular Ejection Fraction By First Pass Technique (List Separately In Addition To Code For Primary Procedure)
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 31 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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