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Question:
When evaluating for sarcoidosis we perform both a perfusion PET scan and a metabolic evaluation. Can I report both 78491 and 78459?
Answer:
Prior to January 1, 2020, it is appropriate to report both positron emission tomography (PET) codes. However, beginning in 2020, a combined code should be reported instead of the individual codes. Code 78432 includes perfusion PET with metabolic evaluation. When a combined PET/CT is performed, report code 78433 instead of 78432. The code descriptions are as follows:
| 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 (eg, myocardial viability); |
| 78433 | with concurrently acquired computed tomography transmission scan |
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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