Direct-from-the-expert solutions to your coding, documentation and billing issues
Based on interactions with hospitals and physician practices nationwide, our nuclear medicine and PET experts have identified many areas of confusion, uncertainty and noncompliance. The 2019 edition of Nuclear Medicine & PET Coder responds to these real-world coding, documentation and billing issues with workable solutions, distilled into clear-cut instruction, tips and new case examples.
Features and Benefits
Our experts address common questions, concerns and problem areas:
- Documentation requirements for coding a "whole-body" exam vs. a "limited" exam
- Preventing the under-reporting of radiopharmaceutical units
- Recurring issues with coding, such as code unbundling and omitting CPT® codes for certain procedures
- In-depth help with modifier 51, Y90 imaging as part of radioembolization procedures, shunt imaging and cardiac PET services with radiopharmaceutical coverage
New and expanded content for 2019:
- More guidance with the appropriate use of Category III CPT code 0482T for absolute quantitation of myocardial blood flow
- New information pertaining to PET imaging for indication of sarcoidosis, including correct code combinations and nationally non-covered services
- Details on PET/CT, including what's billable and which diagnosis codes are covered
- How to code for sentinel nodes and sentinel lymph node mapping
- Updated payment information for 2019
- New case studies, bringing clarity to commonly performed procedures, as well as those that generate frequent questions
Clear, step-by-step guidance through the tasks you perform every day:
- Coding and documentation for a full range of nuclear medicine and PET procedures, including SPECT, PET, PET/CT, planar imaging, integrated imaging and therapeutic treatments
- Covers code assignments by both hospital (technical) and physician (professional) entities
A proven quick reference approach for busy professionals:
- Codes are grouped by body system (e.g., endocrine, gastrointestinal, cardiovascular and more) and then by code sequence
- Each section includes:
- Table of drugs and radiopharmaceuticals typically used for nuclear medicine procedures, along with the pertinent HCPCS and revenue codes
- Definition of each procedure with its corresponding CPT code
- Coding and billing tips for each code
- Payment tables based on the current Medicare physician fee schedule (MPFS) and the hospital outpatient prospective payment system (OPPS)
CPT® is a registered trademark of the American Medical Association.
For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.