Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.1

Appropriate CPT Codes Effective for PET Scans for Services Performed on

Last amended: 2021Year: 2021Length: 263 wordsOfficial source
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
Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.1: Appropriate CPT Codes Effective for PET Scans for Services Performed on | Justis AI