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December 2016 Texas Medicaid Provider Procedures Manual

Radiology and Laboratory Services Handbook : 3 Radiological and physiological laboratory services : 3.2 Services, Benefits, Limitations, and Prior Authorization : 3.2.3 Positron Emission Tomography (PET) Scan Imaging : 3.2.3.1 Authorization Requirements

3.2.3.1
Prior authorization is required for PET imaging services.
Refer to:

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.