Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.1
Appropriate CPT Codes Effective for PET Scans for Services Performed on
60.3.1 - Appropriate CPT Codes Effective for PET Scans for Services Performed on
or After January 28, 2005
(Rev.10881; Issued: 08-06-2021; Effective: 09-07-2021; Implementation: 09-07- 2021)
NOTE: All PET scan services require the use of a radiopharmaceutical diagnostic
imaging agent (tracer). The applicable tracer code should be billed when billing for a
PET scan service. See section 60.3.2 below for applicable tracer codes.
CPT Code
Description
78429
Myocardial imaging, positron emission tomography (PET), metabolic evaluation
study, single study; with concurrently acquired computed tomography transmission
scan
78430
Myocardial imaging, positron emission tomography (PET), perfusion study;
single study, at rest or stress (exercise or pharmacologic), with concurrently
acquired computed tomography transmission scan
78431
Myocardial imaging, positron emission tomography (PET), perfusion study;
multiple studies at rest and stress, with concurrently acquired computed
tomography transmission scan
78432
Myocardial imaging, positron emission tomography (PET), combined
perfusion with metabolic evaluation study, dual radiotracer;
78433
Myocardial imaging, positron emission tomography (PET), combined
perfusion with metabolic evaluation study, dual radiotracer; with concurrently
acquired computed tomography transmission scan
78434
Absolute quantitation of myocardial blood flow (AQMBF), positron emission
tomography (PET), rest and pharmacologic stress
78459
Myocardial imaging, positron emission tomography (PET), metabolic evaluation
78491
Myocardial imaging, positron emission tomography (PET), perfusion, single study
at rest or stress
78492
Myocardial imaging, positron emission tomography (PET), perfusion, multiple
studies at rest and/or stress
78608
Brain imaging, positron emission tomography (PET); metabolic evaluation
78811
Tumor imaging, positron emission tomography (PET); limited area (eg, chest,
head/neck)
78812
Tumor imaging, positron emission tomography (PET); skull base to mid-thigh
78813
Tumor imaging, positron emission tomography (PET); whole body