Does CPT 78815 need a modifier?

Use of PI and PS modifier with PET Scan CPT code 78815 & 78816. Q0 – Investigational clinical trial service provided in a clinical research study that is in an approved clinical research study. HCPCS modifier Q0 is no longer required for services performed on and after June 11, 2013.

Is A9552 covered by Medicare?

CPT Codes for PET Procedures NOT covered by Medicare: A9552 FDG, per study dose A9580 NaF, diagnostic per study dose, up to 40 millicuries (Please see 18-NaF Reimbursement Card.)

What does PET CT scan mean?

Rewind 10 Seconds. Positron emission tomography (PET) uses small amounts of radioactive materials called radiotracers or radiopharmaceuticals, a special camera and a computer to evaluate organ and tissue functions.

Is a CT scan better than a PET scan?

A CT scan shows detailed pictures of the organs and tissues inside your body. A PET scan can find abnormal activity and it can be more sensitive than other imaging tests. It may also show changes to your body sooner.

How long does a PET scan take?

How long does a PET scan take? A PET scan will take about 60 to 90 minutes for the radiotracer to start working, depending on what type of information your doctor is looking for. Once you’re ready to start the scan, you’ll be asked to lie on your back on a platform.

How long is a PSMA PET scan?

The PSMA PET scan usually takes about 2 hours, although timing may vary. To conduct a PSMA PET scan, a nurse or technician will inject a special dye with a radioactive tracer into one of your veins. They will ask you to wait approximately 30 to 60 minutes to allow the dye to travel throughout your body.

What does CPT code 78815 mean?

78815 – CPT® Code in category: Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.

What does 78811 stand for?

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

What is the CPT code for PET scan 78814?

78814 PET/CT TUMOR IMAGING, LTD. (eg. Chest, Head, Neck) Billing should be submitted using the appropriate billing form and Procedure code for (1) tumor PET imaging (78811, 78812, or 78813), (2) tumor PET/CT imaging (78814, 78815, or 78816), or (3) for brain imaging (78608) when a dedicated brain PET study was done for brain tumor evaluation.