PET Scans / Overview

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the general scope of PET imaging services and the associated Medicare and CPT coverage context. It covers broad categories of PET use, national registry participation, radiopharmaceutical reporting, and selected tracer codes tied to specific PET service types. The content is useful for coders, billing staff, and imaging providers who need a high-level understanding of how PET claims are discussed in current guidance.

Why This Topic Matters

PET coverage and reporting can vary by indication, payer policy, and participation in Medicare registry programs. This overview helps readers quickly see whether the article is relevant to PET reimbursement, tracer billing, and related imaging guidance without exposing the premium coding details.

Article Sections

  1. Overview

    Broad PET imaging categories are introduced, including major service types and the code families associated with them.

  2. National registry

    This section discusses Medicare registry participation, coverage with evidence development, and related billing context for PET services.

  3. Other coverage for PET

    This section addresses additional Medicare coverage topics for PET, including selected clinical scenarios and tracer-related billing context.

What You Will Learn

  • The general clinical uses of PET imaging discussed in the article
  • How Medicare registry participation is connected to PET coverage
  • Which broad PET service categories are referenced in the overview
  • How tracer reporting is discussed at a high level for PET imaging
  • What general coverage topics are mentioned for PET under Medicare

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Imaging facility administrators
  • Physician office billing staff
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed

  • CPT: 93015–93018
  • CPT: 78460–78465
  • CPT: 78472–78492
  • CPT: 78459–78492
  • CPT: 78608–78609
  • CPT: 78811–78816
  • CPT: 78814–78816

Modifiers Discussed


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