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  • Ma Collaborative - Pet - Pet Ct Prior Authorization Form 2019

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N Physician Name (First, Last): Primary Specialty: NPI: Tax ID: Phone #: Fax #: Contact Name: SECTION 3. FACILITY INFORMATION Facility Name: Facility Tax ID: Address: City: Phone #: Fax #: NPI: State: Zip: Date of Service: SECTION 4. EXAM REQUEST CPT Code(s): Description: ICD Diagnosis Code(s): Description: Date of first office visit for this condition with any provider: Date of most recent office visit for this condition with any provider: SECTION 5. COMPLETE ALL APPLICABLE INFORM.

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PET scans can detect cancers, as well as organs that are not working normally (such as areas of the brain affected by Alzheimer's disease or areas of the heart that have been damaged by blocked blood vessels).

A CT scan shows detailed pictures of the organs and tissues inside your body. A PET scan can find abnormal activity and it can be more sensitive than other imaging tests. It may also show changes to your body sooner. Doctors use PET-CT scans to provide more information about the cancer.

A positron emission tomography (PET) scan is an imaging test that can help reveal the metabolic or biochemical function of your tissues and organs. The PET scan uses a radioactive drug called a tracer to show both typical and atypical metabolic activity.

Positron emission tomography (PET) scans are used to produce detailed three-dimensional images of the inside of the body. The images can clearly show the part of the body being investigated, including any abnormal areas, and can highlight how well certain functions of the body are working.

Positron emission tomography (PET) is a type of nuclear medicine procedure that measures metabolic activity of the cells of body tissues. PET is actually a combination of nuclear medicine and biochemical analysis.

PET stands for positron emission tomography. The PET scan uses a mildly radioactive drug to show up areas of your body where cells are more active than normal. It's used to help diagnose some conditions including cancer. It can also help to find out where and whether cancer has spread.

The combined PET/CT scans provide images that pinpoint the location of abnormal metabolic activity within the body, like malignant tumor cells. The combined scans have been shown to provide more accurate diagnoses than the two scans performed separately.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232