Nuclear Medicine Question for the Week of June 13, 2016

Question:

Question:

What codes should be assigned for a cardiac PET scan?

Answer:

Answer:

There are two types of cardiac PET scans, and the appropriate codes depend upon which you are performing.

A PET myocardial viability scan would be reported with code 78459 (myocardial imaging, PET, metabolic evaluation). The facility that provides the radiopharmaceutical would also report HCPCS code A9552 (fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries).

There are two codes for myocardial perfusion PET. Report code 78491 for a single study, performed either at rest or stress. Report code 78492 when performing rest and stress studies, or any combination of multiple studies.

78491

Myocardial imaging, PET, perfusion; single study at rest or stress

78492

Myocardial imaging, PET, perfusion; multiple studies at rest and/or stress

A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries

A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries

When the myocardial perfusion PET is performed with stress, the appropriate code(s) listed below for the actual stress test should be reported, along with the appropriate HCPCS J code for the required stressor.

93015

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report

93016

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report

93017

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report

93018

Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only