tci Part B Insider - 2005 Issue 9

PHYSICIANS NOTES: CMS Finally Junks "G" Codes For PET Scans

The Centers for Medicare and Medicaid Services finally bowed to provider pressure and replaced the tired old "G" codes for positron emission tomography with 11 CPT Codes .Retroactive to  Jan. 30, CMS will recognize PET scan codes 78459, 78491-78492 (heart), 78608-78609 (brain) and 78811-78816 (tumor) instead of the dozens of HCPCS codes that providers had to bill previously, according to Transmittal 475, issued Feb. 11. CPT 2005 deleted tumor PET code 78810 and replaced it with 78811-78816.The new transmittal changes the status codes for the CPT codes to "A" or "C," meaning carrier-priced, and adds RVUs for...

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