Celebrating the 25th Anniversary of the Nuclear Medicine & PET Coder!
For a quarter of a century, the Nuclear Medicine & PET Coder has been your trusted companion, guiding you through the intricacies of nuclear medicine and PET coding in a constantly evolving field. As we mark this remarkable milestone, we continue to deliver unparalleled value and unwavering support for your coding and documentation needs.
Unparalleled Expertise:
Our nuclear medicine and PET experts have spent decades unraveling the complexities of this ever-changing landscape. With the 2024 Nuclear Medicine & PET Coder, we bring you comprehensive solutions to challenges that impact your revenue and compliance.
What’s Inside:
- Cutting-Edge Amyloid PET Imaging: Stay ahead of the curve with in-depth coverage of PET amyloid procedures. Explore case studies, common questions, and expert insights in this hot topic.
- Clarity and Compliance: We decode the 2024 CPT® codes for nuclear medicine services, offering crosswalks and guidance to ensure compliant coding and documentation.
- Expert Guidance: Get detailed explanations of procedures, documentation requirements, and practical applications, along with clear insights into gray areas and actionable tips.
- Continued Challenges Addressed: Tackle recurring issues, such as unit reporting accuracy, bundled codes, and more.
Take Action Now:
Make the most of our 25 years of expertise! Get your 2024 Nuclear Medicine & PET Coder to unlock:
- A better understanding of new, revised, and deleted CPT codes.
- Thought-provoking case studies on amyloid imaging.
- Guidance on SPECT, SPECT/CT, and cardiac PET procedures.
- Solutions to complexities in appropriate use criteria.
- Valuable insights into the JW modifier.
- Updated payment tables and essential radiopharmaceutical information.
- Coverage changes for PET and PET-CT.
Our experts answer your pressing questions, including when to use specific codes, bundled code clarifications, and much more. Plus, find step-by-step guidance for daily coding tasks and quick-reference sections for busy professionals.
Join us in celebrating 25 years of excellence. Invest in the 2024 Nuclear Medicine & PET Coder and elevate your coding, documentation, and billing game. It’s time to secure your future in this dynamic field!
Looking for more valuable coding education and news? Check out our new Nuclear Medicine All-Access Pass for a full range of comprehensive educational resources that provide the best protection for your bottom line.
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Introduction
2022 MPFS and Hospital OPPS Tables
Overview of Nuclear Medicine Procedures
Diagnostic Studies
- Uptake
- Planar Imaging
- Single Photon Emission Computed Tomography
- Positron Emission Tomography
Integrated Imaging Systems
- Positron Emission Tomography/Computed Tomography
- Single Photon Emission Computed Tomography/ Computed Tomography
Therapeutic Treatments
Coding, Payment and Policy Guidelines
Coding Basics
Billing for Studies
Modifiers to Use
- Multiple Procedure Payment Reduction (MPPR) Policy (CPT Modifier 51)
- Modifier Tips
CCI Narrative Instructions Specific to Nuclear Medicine
2022 HCPCS Level I (AMA CPT) Nuclear Medicine Services and Level II Codes for Radiopharmaceuticals and Drugs
- Radiopharmaceuticals
- Physician Office Radiopharmaceutical Payments
- Hospital Diagnostic Radiopharmaceutical Payments
- Hospital Outpatient Pharmacological Stress Agents and Stress Test Payments
- HOPPS Add-On Payment Adjustment for Non-Highly
- Enriched Uranium (non-HEU) Sources
- UB-04 Guidelines for New and Revised Data-Collection
- Requirements
- Administration/Injection Procedures
Medicare Policies
- DRA of 2005
- Nuclear Medicine as Designated Health Service
- CMS-1500 Guidelines for New Data-Collection Requirement
- Non-NEMA Standard XR-29-2013-Compliant CT Scanners
- Special Rule to Incentivize Transition from Traditional
- X-Ray Imaging to Digital Radiography
Clinical Laboratory Improvement Amendments
Ordering Diagnostic Tests
Diagnosis Coding
Endocrine System
CPT Codes: 78012–78099
Hematopoietic, Reticuloendothelial and Lymphatic System
CPT Codes: 78102–78199, 38792
Gastrointestinal System
CPT Codes: 78201–78299, 49427
Musculoskeletal Imaging
CPT Codes: 78300–78399
Cardiovascular System Including Myocardial PET
CPT Codes: 78428–78499, 93015–93018
Respiratory System
CPT Codes: 78579–78599
Central Nervous System Including Selected Neurological PET
CPT Codes: 78600–78699, 61070, 62323, 62327
Genitourinary System
CPT Codes: 78700–78799, 51701–51703
Other Procedures (Abscess, Tumor, etc.)
CPT Codes: 78800–78999
PET Diagnostic Imaging, Including Oncology PET
CPT Codes: 78429–78434, 78459, 78491, 78492, 78608, 78609, 78811–78816, and HCPCS Level II Codes: G0219, G0235 and G0252
Therapeutic
CPT Codes: 79005–79999
Appendix 1: Drugs, Radiopharmaceuticals, and Common Isotopes
Appendix 2: Medicare PFS Payment Status Codes
Appendix 3: Hospital OPPS Payment Status Indicators
Appendix 4: Hospital Revenue Codes
Appendix 5: Radioimmunotherapy (RIT) Summary Table: Procedures & Administrations
Appendix 6: Appropriate Use Criteria for Advanced Diagnostic Imaging
Appendix 7: A Note About COVID-19
