2023年8月13日 · Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. (You may have to accept the AMA License Agreement.) Look for a Billing and Coding Article in the results and open it. (Or, for DME MACs only, look for an LCD.) Review the article, in particular the Coding Information section.

Pet Scan CPT code (s) 78811 - 78816 bills for the services when the physician performs a Positron emission tomography (PET) scan of different body areas or anatomical regions with or without a CT scan. The PET produces thin slice images of the body.

2025年4月2日 · PET/CT imaging with [F-18]sodium fluoride (NaF-PET/CT) is indicated for evaluation of a variety of benign and malignant bone diseases for addressing the following clinical problems: (1) differentiation of benign from malignant bone lesions; (2) detection of bone metastasis (initial staging or restaging); (3) monitoring and assessing response to ...

This CPT code can be utilized when a provider performs a PET scan in conjunction with a CT scan specifically for the purpose of attenuation correction and anatomical localization in a limited area, such as the chest or head/neck.

Myocardial Imaging: Diagnosis Codes . This list of codes applies to the Medicare Advantage Medical Policy titled Positron Emission Tomography (PET) Scan for Myocardial Imaging. Approval Date: October 9, 2024. Applicable Codes . The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all ...

2021年3月19日 · *These CPT codes represent the most commonly ordered PET exams. For any coding inquiry not listed please call us at 800-841-4236 ext. 59109.

The new codes will replace CPT code 78810, the most common CPT code used to bill whole body oncologic PET/CT procedures. The PET/CT codes specifically describe the CT portion of the scan as “with concurrently acquired CT for attenuation correction and anatomical localization”.

2022年4月22日 · If a medically necessary diagnostic CT is performed non-concurrently with a PET/CT scan, either on the PET/CT scanner or on an independent CT scanner, the appropriate PET/CT procedure code and the diagnostic CT study(s) code may be reported. CPT code 78609 is a non-covered service. HCPCS code A4641 is not an applicable tracer for PET scans.

2014年7月10日 · Please use the appropriate CPT code when submitting claims for PET scans (appropriate modifier(s) also required): 78608 – Brain imaging, Positron emission tomography (PET); metabolic evaluation; 78811 – Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)

Effective January 1, 2018, all PET scan services (CPT codes 78459, 78491, 78492, 78608, 78811-78816 and future PET codes) require the use of a radiopharmaceutical diagnostic imaging agent (or tracer).