Radiology Coding Alert

New PET G Codes

As of July 1, HCFA has revised or replaced G codes used to describe PET scanning for diagnosis, initial staging and restaging of various cancers. And, it has introduced new codes representing expanded coverage in other areas.
 
New Lung Cancer Codes
 
G0210 (new) -- PET imaging, whole body; diagnosis; lung cancer, non-small cell

G0211 (replaces G0126) -- ... initial staging; lung cancer, non-small cell

G0212 (new) -- ... restaging; lung cancer, non-small cell
New Colorectal Cancer Codes
 
G0213 (new) -- PET imaging, whole body; diagnosis; colorectal cancer

G0214 (new) -- ... initial staging; colorectal cancer

G0215 (new) -- ... restaging; colorectal cancer
 
New Melanoma Codes
 
G0216 (new) -- PET imaging, whole body; diagnosis; melanoma

G0217 (new) -- ... initial staging; melanoma

G0218 (replaces G0165) -- ... restaging; melanoma

G0219 (new) -- ... melanoma for non-covered indications (e.g., not covered for evaluating regional nodes)
 
New Lymphoma Codes
 
G0220 (new) -- PET imaging, whole body; diagnosis; lymphoma

G0221 (replaces G0164) -- ... initial staging; lymphoma

G0222 (replaces G0164) -- ... restaging; lymphoma
New Head and Neck Codes
 
G0223 (new) -- PET imaging, whole body or regional; diagnosis; head and neck cancer; excluding thyroid and CNS cancers

G0224 (new) -- ... initial staging; head and neck cancer, excluding thyroid and CNS cancers

G0225 (new) -- ... restaging; head and neck cancer, excluding thyroid and CNS cancers
 
New Esophageal Codes
 
G0226 (new) -- PET imaging, whole body; diagnosis; esophageal cancer
 
G0227 (new) -- ... initial staging; esophageal cancer

G0228 (new) -- ... restaging; esophageal cancer
 
Other New Codes
 
G0229 (new) -- PET imaging; metabolic brain imaging for pre-surgical evaluation of refractory seizures

G0230 (new) -- ... metabolic assessment for myocardial viability following inconclusive SPECT study.