Wiki Incomplete FDG PET scan

[dsmoon]

We are a multi-specialty office that also has x-ray onsite. My question is...Patient comes in for FDG PET scan...they give the dye...patient starts having a severe reaction and is sent to the ER immediately...How/Can we bill for this? Do we simply bill for the dye that was given? Or can we bill the PET scan as well with a 52 modifier attached? Any help is greatly appreciated

 

[amy.shears6@advocatercm.com]

MedLearn states if the radiopharmaceutical is administered and no imaging was performed, choose the lowest level CPT code in the intended section of CPT and bill with -52 or -53 modifier. If you have administered a radiopharmaceutical, you have begun the study - administration is an integral part of the NM procedure code.