Radiology

Radiology Question for the Week of December 9, 2019

Radiology Compliance Question of the Week

Question:

What are the new myocardial PET codes for 2020?

Answer:

New codes were introduced to identify component services with PET myocardial perfusion and metabolic imaging, to include ventricular wall motion and ejection fraction when performed. In addition, the codes detail whether CT transmission images for anatomical review were concurrently acquired.

78429 single study; with concurrently acquired computed tomography transmission scan
78430 single study, at rest or stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan
78431 multiple studies at rest and stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan
78432 Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (e.g., myocardial viability)
78433 with concurrently acquired computed tomography transmission scan
78434 Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (list separately in addition to code for primary procedure)

This question was answered in our annual Nuclear Medicine Coding, Reimbursement & Compliance Review webcast. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.