Wiki Pet/ct

[pattilef@yahoo.com]

When billing CPT 78815 PET/CT Scan skull to mid-thigh is it appropriate to also bill 71260 CT Chest, 74160 CT Abd and 72193 - CT Pelvis on the same claim.

The doctor's orders are only for the PET/CT (78815). Why are the other CT scans be needed?

 

[cjacobs]

I know my office bill for CT chest, abdomen, and/or pelvis that are done with a PET scan. You would need to apply a 59 modifier on the CTs that are performed the same day as a PET scan. In saying this we do have orders for the CTs. I have never billed for a CT that was done with no order. CTs are not always performed PET scans. I hope this help.

 

[mbgg]

If the Ct's were seperate, diagnostic scans then you would bill for them. If the CT's were just the ct part of the PET/CT and only done for attenuation then you would not bill seperately for them