78459 prior authorization | Premera Blue Cross of Washington

78459, Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 78459
Description: Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study
Source: Clinical Review by Code List PBCWA, Pg 432 Original policy

Premera Blue Cross of Washington prior authorization

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