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Orthopedic Coding Alert

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Get Specifics of Anatomy Right on PET Scan

Published on Mon Jan 10, 2022

Question: Notes indicate our provider performed ‘PET scan, whole body.’ I reported 78811 and 78812 and received a denial. What did I do wrong? Oklahoma Subscriber Answer: Instead of reporting your two-code combination, you should have just reported 78813 (Positron emission tomography (PET) imaging; whole body) instead. The two codes you reported were both for “half” of the body: 78811 [...]
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