Radiology Question for the Week of May 6, 2024

Question:

A patient undergoes a PET scan with CT for attenuation correction and anatomic localization. Should the CT imaging be separately charged in this case when reporting 78433?

Answer:

78433 does include CT for both attenuation correction and anatomic localization (i.e., fusion imaging). However, do not charge separately for diagnostic CT imaging unless a full and complete diagnostic CT scan (i.e., not just fusion imaging) is ordered and performed. If a full and complete diagnostic CT is separately ordered, medically necessary, and performed, assign the anatomic site-specific CT code, append the CT code with modifier 59, in addition to the appropriate PET imaging code.

This question was answered in our Nuclear Medicine & PET Coder. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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