tci Part B Insider - 2005 Issue 34

CORRECT CODING INITIATIVE: CCI 11.3 May Become Your PET Peeve

CT scans bundled with tumor imaging codesIf you're performing PET tumor imaging, you may have to step more carefully around a new set of Correct Coding Initiative edits in October.CCI 11.3 turns a number of nuclear medicine codes into components of PET tumor imaging codes 78811-78816. You will be able to use a modifier to override the edits, but you'll have to justify billing for the nuclear medicine procedures separately. The component codes for these edits include several codes for computed tomography (CT) scans: 70450, 70480, 70486, 70490, 71250, 72125, 72128, 72131, 72192, 73200, 73700 and 74150...

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