78816 prior authorization | Premera Blue Cross of Washington
78816, Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 78816
- Description
- Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body
- Source
- Clinical Review by Code List PBCWA, Pg 436 Original policy