decisionhealth Newsletters, Part B News - 2001 Issue 12 (December)
Use these new codes for PET scans starting January 1
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Article Overview
This article covers a Medicare update to PET scan billing under HCPCS, effective January 1. It is written for coders, billing staff, and clinicians who submit PET claims and need to understand the addition of new PET codes, changes to existing PET code usage, and the broader coverage distinctions between scanner types. The discussion also places the coding update in the context of CMS coverage policy and its announced review timeline.
Why This Topic Matters
The article matters because PET billing is being revised in a way that affects code selection and Medicare reimbursement based on scanner technology and clinical indication. Understanding the update helps reduce claim errors and supports compliance with CMS coverage rules.
What You Will Learn
- How Medicare’s PET scan HCPCS framework changes starting January 1.
- Which broad PET billing categories are addressed in the update.
- How CMS ties PET code usage to scanner type and coverage policy.
- What organizational and timing context CMS provided for the policy update.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Radiology practices
- Oncology practices
- Nuclear medicine departments
- Compliance staff
Codes Discussed
Code Ranges Discussed
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