tci Part B Insider - 2005 Issue 44

RADIOLOGY: Avoid These PET/CT Coding Pitfalls

Find out 3 important documentation must-haves You can expect claims denials if you don’t properly report CPT codes for PET/CT. Important: To receive accurate payment, you need to have precise documentation and you need to know the circumstances under which you can report codes 78814-78816 (Tumor imaging, positron emission tomography [PET] with concurrently acquired computed tomography [CT]…).Beware: You can’t report 78814-78816 if the radiologist performs a PET and a separate CT, notes Denise Merlino, CNMT, MBA, FSNMTS, coding and reimbursement adviser to the Society of Nuclear Medicine. These codes are only used to report studies...

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