Appropriate Procedure Codes Effective for PET Scans for Services Performed on or After January 28, 2005

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.

Procedure Code                         Description

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

78814                      Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for                                attenuation correction and anatomical localization; limited area (e.g., chest, head/neck)

78815                       Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for                                 attenuation correction and anatomical localization; skull base to mid-thigh

78816                      Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for                                attenuation correction and anatomical localization; whole body