Nuclear Medicine Question for the Week of August 8, 2016

Question:

Question:

Our hospital has a true dedicated PET/CT scanner. Can you tell me if it needs to meet the National Electrical Manufacturers Association (NEMA) standard XR-29-2013 for CT scans? If so, can you provide a resource to support?

Answer:

Answer:

This NEMA standard applies only to the following diagnostic computed tomography (CT) codes: 70450–70498, 71250–-71275, 72125–72133, 72191–72194, 73200–73206, 73700–73706, 74150–74178, 74261–74263, and 75571–75574. It does not apply to the PET/CT codes.

Therefore, if you use the CT only for attenuation correction, you do not have to meet the XR-29 standards. However, if you also perform separate diagnostic CT scans on that scanner, then you are responsible for meeting the standards, or billing with the following modifier:

Modifier-CT CT services furnished using equipment that does not meet each of the attributes of the NEMA XR-29-2013 standard

Billing instructions can be found at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3402CP.pdf.