tci Medicare Compliance & Reimbursement - 2005 Issue 12

Radiology: Providers Celebrate CPT Codes For PET Scans

Getting paid for PET scans about to get easier. Providers are cheering the Centers for Medicare and Medicaid Services' decision to phase out dozens of HCPCS codes for positron emission tomography (PET) scans and replace them with just 11 CPT Codes. These new codes are 78811-78816;  78459; 78491-78492 and 78608-78609. The move is good news for a couple of reasons, says Jeff Fulkerson, senior certified coder in the radiology department of Emory Health Care in Stockbridge, GA.   First of all, the CPT codes are based on the body area the physician scanned. Also, any time you...

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