AHA Coding Clinic® for HCPCS - 2009 Quarter 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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Article Overview
This short Find-A-Code article covers CMS guidance on new PET reporting modifiers used in cancer-related imaging claims. It is relevant to coders, billers, compliance staff, and imaging practices that need to track Medicare reporting updates and related PET terminology. The article provides a brief overview of the modifiers, their general purpose, and the effective date, with a link to the CMS transmittal for additional information.
Why This Topic Matters
Updates to PET reporting can affect claims submission, documentation alignment, and compliance for oncology imaging services. Readers reviewing this article can quickly determine whether they need the full premium content to understand the CMS update and its reporting context.
What You Will Learn
- The CMS update introducing new PET reporting modifiers
- The general reporting context for PET imaging in cancer-related care
- The effective date associated with the change
- Where to find the related CMS transmittal for more information
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Radiology and imaging staff
- Oncology practice administrators
Modifiers Discussed
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