Nuclear Medicine & PET Coder

This is the trusted resource you need to tackle common and complex coding challenges and maintain compliance through high-impact, and often unclear, coding changes.

Price range: $275.00 through $285.00

Nuclear Medicine & PET Coder

Price range: $275.00 through $285.00

An expertly aggregated resource to overcome coding challenges in the complexity of nuclear medicine services for 2026

A storm of economic uncertainty is looming over 2026, and you can’t afford to navigate the changes without professional guidance for coding and compliance. With new AI-related codes presenting future audit risks, coders must ensure accurate documentation to support proper billing and reduce audit risk. Radiopharmaceuticals remain an area of complexity and are commonly misunderstood, with the annual updates setting facilities up for struggle come 2026.

Our nuclear medicine and PET experts have identified many areas of confusion, uncertainty and noncompliance that threaten your bottom line. Fortunately, our Nuclear Medicine & PET Coder book provides clarity and spells out the steps you must take to achieve compliant coding and documentation. As always, you get clear, detailed explanations of procedures and how they should be reported and documented. You also get clarification of gray areas, plus case examples, concrete tips, and much more. In short, this trusted resource delivers workable solutions and actionable answers to your real-world coding, documentation and billing issues.

2026 Features and Benefits

  • New general AI-related Category III codes
  • 2026 HCPCS and radiopharmaceutical updates
  • Explanations and practical applications of all active CPT® codes for nuclear medicine services with crosswalks and guidance for use
  • The latest status on the Appropriate Use Criteria program and how it impacts nuclear medicine providers
  • Guided insight for SPECT, SPECT/CT and planar imaging, and cardiac PET procedures, with crosswalks and guidance for use
  • Updated payment tables, radiopharmaceutical information, and other essential details throughout the book
Our experts address common questions, concerns, and problem areas:
  • When to use the new SPECT, SPECT/CT and planar imaging codes
  • What the bundled cardiac PET and PET/CT codes do, and do not, include
  • Documentation requirements for coding a thyroid “whole-body” exam vs. a “limited” exam
  • Preventing the under-reporting of radiopharmaceutical units
  • Recurring issues with coding, such as code unbundling and omitting CPT codes for certain procedures
Clear, step-by-step guidance through the tasks you perform every day:
  • Coding and documentation for a full range of nuclear medicine and PET procedures, including SPECT, PET, PET/CT, planar imaging, integrated imaging, and therapeutic treatments
  • Covers code assignments by both hospital (technical) and physician (professional) entities
A proven quick-reference approach for busy professionals:
  • Codes are grouped by body system (e.g., endocrine, gastrointestinal, cardiovascular and more) and then by code sequence
  • Each section includes:
    • Table of drugs and radiopharmaceuticals typically used for nuclear medicine procedures, along with the pertinent HCPCS and revenue codes
    • Definition of each procedure with its corresponding CPT® code
    • Coding and billing tips for each code
    • Payment tables based on the current Medicare physician fee schedule (MPFS), and the hospital outpatient prospective payment system (OPPS)

Looking for more valuable coding education and news? Check out our Nuclear Medicine All-Access Pass for a full range of comprehensive educational resources that provide the best protection for your bottom line.



CPT® is a registered trademark of the American Medical Association.

For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.

*All-Access Pass subscribers receive 30% off the print version of the books included with their membership. This 30% does not include AMA fees or shipping and handling fees. For questions please email us.

**Please note that eBooks cannot be printed, and all sales on eBooks are final. If you would like a printed copy of this resource please select the Print version and allow time for shipping.

Introduction
  • 2026 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
Nuclear Medicine Terminology
Coding, Payment and Policy Guidelines
  • Coding Basics
  • Billing for Studies
  • Modifiers to Use
    • Multiple Procedure Payment Reduction (MPPR) Policy (CPT Modifier 51)
    • Modifier Tips
  • NCCI Narrative Instructions Specific to Nuclear Medicine
  • 2026 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, and HCPCS Level II Codes: 0742T, 0331T, 0332T

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, 36245–36248, 37242, 37243, 75726, 75774, 76380, 77263, 77295, 77300, 77399

Appendix 1: Drugs, Radiopharmaceuticals, and Common Isotopes
Appendix 2: Medicare PFS Payment Status Codes and Descriptions
Appendix 3: Hospital OPPS Payment Status Indicators and Descriptions
Appendix 4: Hospital Revenue Codes
Appendix 5: Radioimmunotherapy (RIT) Summary Table: Procedures & Administrations
Appendix 6: Artificial Intelligence Taxonomy
Appendix 7: SNMMI Coding Consensus Opinions
Product SKU PNUC
Product Categories Books
Specialties and Topics Nuclear Medicine, Radiology

Related Products

Unlock 50% off all 2024 edition books when you order by July 5! Use the coupon code CO5024 at checkout to claim this offer!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24