Nuclear Medicine Question for the Week of September 26, 2016

Question:

Question:

We performed a myocardial perfusion PET scan with wall motion and ejection fraction analysis. Can we bill the wall motion and ejection fraction separately, or is it included with codes 78491 and 78492?

Answer:

Answer:

Wall motion and ejection fraction were not valued into the cardiac PET scan codes; however, there are no codes to account for the extra work. For non-Medicare payers you may want to consider reporting the unlisted procedure code 78499 in addition to 78491 or 78492.

78491 Myocardial imaging, PET, perfusion; single study at rest or stress
78492 Myocardial imaging, PET, perfusion; multiple studies at rest and/or stress
78499 Unlisted cardiovascular procedure, diagnostic nuclear medicine