AHA Coding Clinic® for HCPCS - 2009 Issue 3; FOR your INFORMATION

New Modifiers for Positron Emission Tomography (PET)

CMS has created 2 new PET modifiers for the reporting of initial and subsequent treatment of cancerous tumors. These modifiers became effective, April 6, 2009. The new PET modifiers are listed as follows: PI – Positron Emission Tomography (PET) or PET/Computed Tomography (CT) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing. Short descriptor: PET tumor init tx strat PS – Positron Emission Tomography (PET) or PET/Computed Tomography (CT) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary’s treating physician determines...

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