tci Medicare Compliance & Reimbursement - 2007 Issue 40

CPT 2008: Medicare May Soon Cover FDG-PET Scans For Infection

CPT descriptor changes pave the way for coverageWith all the bad news that's hit imaging lately, you're overdue for a break.So it's good news that CPT 2008 greatly increases the number of patients for whom you can bill FDG Positron Electron Tomography (PET) codes 78811-78816. January's CPT update deletes the phrase "tumor imaging" from the descriptors for these codes.That change opens the door for the Centers for Medicare & Medicaid Services (CMS) to start covering FDG-PET when your physician scans for infections and inflammations, as well as tumors. "Just because the word tumor is removed doesn't mean...

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