Axumin Pet Scan Cpt Code

Axumin fluciclovine f 18 injection is indicated for positron emission tomography pet imaging in men with suspected prostate cancer recurrence based on elevated blood prostate specific antigen psa levels following prior treatment.

Axumin pet scan cpt code. 1 months ago cpt pet ct code 78815 78814 78491 78811 78816. Image interpretation errors can occur with axumin pet imaging. A negative image does not rule out recurrent. A negative image does not rule out recurrent.

Billing should be submitted using the appropriate billing form and procedure code for 1 tumor pet imaging 78811 78812 or 78813 2 tumor pet ct imaging 78814 78815 or 78816 or 3 for brain imaging 78608 when a dedicated brain pet study was done for brain tumor evaluation. The cpt codes for pet imaging are 78811 78816. 2 days ago claims for pet scan services must be billed using the asc x12 837 professional claim format or on form cms 1500 with the appropriate hcpcs or cpt code and diagnosis codes to the a b mac b. As of january 1 2020 axumin will be bundled with the procedure.

They are assigned status indicator n in opps and therefore the payment for a diagnostic radiopharmaceutical assigned to any of these hcpcs codes is packaged into the payment for. Common cpt codes for axumin pet scanning 78812 positron emission tomography pet imaging. Effective january 1 2008 hcpcs code a4641 is not applicable for pet scans. Providers should choose the code that accurately describes the procedure performed and which is supported by documentation in the medical record.

Top sites about pet ct axumin cpt code posted. Hcpcs codes a9597 or a9598 whichever is applicable should be used to bill a new diagnostic radiopharmaceutical until the new diagnostic radiopharmaceutical has been granted pass through status and a c code has been assigned. Which pet procedure codes would be used on axumin claims. Insurer insurer type plan name icd 10 code s axumin billable hcpcs pet scan billable cpt this worksheet is provided to assist your site of care in keeping track of your local payers reimbursement payment policies for axumin fluciclovine f 18 injection.

This is not a guide or instructions. Axumin fluciclovine f 18 injection is indicated for positron emission tomography pet imaging in men with suspected prostate cancer recurrence based on elevated blood prostate specific antigen psa levels following prior treatment. Axumin s transitional pass through period for original medicare beneficiary scans performed in the hospital outpatient department ended on december 31 2019. Whole body 78815 positron emission tomography pet imaging with concurrently acquired computed tomography ct for attenuation.

Image interpretation errors can occur with axumin pet imaging. Skull base to mid thigh 78813 positron emission tomography pet imaging.