CPT^® 78492, Under Diagnostic Nuclear Medicine Procedures on the Cardiovascular System

The Current Procedural Terminology (CPT^®) code 78492 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Nuclear Medicine Procedures on the Cardiovascular System.

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Summary

In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes ventricular wall motion and ejection fraction or both, if performed. This code is for multiple studies and is performed at rest and exercise– or drug–induced stress.

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Claim denial modifier assistance

Hoping someone can assist with this. Florida Blue is denying claims with these codes billed stating a modifier is needed. These were performed in the office place of service and have always paid bille... [ Read More ]

Denial Pet Perfusion Scan-Modifier needed?

CPT 78492 denied - To require modifier from BCBS Florida

We called to BCBS insurance and provided the below comments, CPT 78492 is a Cardio imaging procedure and for its need more appropriate modifier should be obtained to indicate the clinical determina... [ Read More ]

Solve this office debate please

We are a Pet Imaging Facility who performs Cardiac Pet Scans as well. We use a Cardiologist from the Hospital to come over and supervise for us. We pay him for his time, he does not do a report or int... [ Read More ]

78492 PET scans HELP

I need help! I have been receiving denials for this code all of a sudden. My cardiologists have always used the same dx codes and are now being told to refer to an expired NCD 220.6. Any help would b... [ Read More ]

Status C Fee Schedule

Does anyone out there know what the TC, or global for that matter, for PET Scan CPT 78492 is? Noridian only lists the 26 allowable and I am in need of the global. I am going to write to General Inquir... [ Read More ]

PET - 78492 Performed in POS 11

Good afternoon everyone, Is there anyone out there who is performing PET's in the place of service 11? If so, are you being reimbursed under the OPPS - Non-Facility PAR Fee Schedule? If so, could... [ Read More ]

PET - 78492 and Medicare Part B Fee Sched

Good afternoon everyone: I'm seeking advice about reimbursement for CPT code 78492 PET (Heart) which is being performed in the physician's office setting. I'm new to a Cardiology practice and notice... [ Read More ]

Medicare denials 78492

I have been scouring the guidlines for PET scans and there are extensive guidelines for Oncology Pets, but I keep getting denials for the Myocardial - B5 - program guidelines not met or exceeded. Can... [ Read More ]

Stess Tests

Medicare Reimbursement for Nuclear Cardiology 2010 DELETED CPT® codes1: Deleted 78465 SPECT multiple myocardial perfusion imaging Deleted 78478 myocardial perfusion wall motion Deleted 78480 myocardi... [ Read More ]

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