Keep this list from CMS close at hand The next time you find yourself coding FDG-PET scans for Alzheimer's and fronto-temporal dementia, save yourself some time by checking this handy guide. CPT:
• CPT 78608 --Brain imaging, positron emission tomography (PET); metabolic evaluation.
ICD-9:
• 290.0--Senile dementia, uncomplicated
• 290.10--290.13--Presenile dementia
• 290.20--290.21--Senile dementia with delusional or depressive features
• 290.3--Senile dementia with delirium
• 331.0--Alzheimer's disease
• 331.11--Pick's disease
• 331.19--Other frontotemporal dementia
• 331.2--Senile degeneration of brain
• 331.9--Cerebral degeneration, unspecified
• 780.93--Memory loss. Resources:
• Read Medlearn Matters article MM3640, "Update to Billing Requirements for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer's Disease (AD) and Fronto-Temporal Dementia (FTD) and Update to the FI Billing Requirements for Special Payment Procedures for ALL PET Scan Claims for Services Performed in a Critical Access Hospital (CAH)" at
www.cms.hhs.gov/MedlearnMattersArticles/downloads/MM3640.pdf.
• Find the revised portion of Chapter 13, Section 60 of the Medicare Claims Processing Manual (CR3640) at
www.cms.hhs.gov/Transmittals/downloads/R428CP.pdf.