Prior Authorization is required for the following radiology codes: PET SCANS 78459 Myocardial -metabolic 78491 Myocardial-single-rest/stress 78492 Myocardial,perfusion-mult. 78608 Brain-metabolic 78609 Brain, perfusion 78811 Limited area 78812 Skull base to mid-thigh...
Prior Authorization and Referral Requirements For all MRI’s, MRA’s, CT scans, CTA’s, and PET scans performed on or after March 2, 2009, providers will be required to request prior authorization from MedSolutions. Scans performed as an inpatient hospital service, as an...
Which advanced outpatient imaging procedures require notification/prior authorization? Unlisted Services Radiology services not covered by listed Procedure-4 procedure codes should be billed with the appropriate unlisted Procedure-4 code. The following...
