pet ct & diagnostic ct

[RADCODER]

Is anyone getting reimbursed for doing a PET/CT and an additional diagnostic CT on the same day with medical necessity? Apparently oncologists would like to order these tests.

Just to clarify...
-The patient would have a PET/CT and then the patient would go for diagnostic CT's (e.g. neck, chest, etc.), same day. The PET/CT images were obtained and then additional diagnostic CT images are obtained.

Thank you,

[srinivas r sajja]

http://interactive.snm.org/docs/7-19..._PET_CT-QA.pdf

[Susan Burton]

Hi Jessica,

Yes, our office is getting reimbursed for PET/CT and additional diagnostic CT on the same day. However, just recently I have encountered an issue with out of state blue plans. I am currently working on this issue to get resolved.

All other insurances are reimbursing the PET/CT and additional diagnostic CTs with no problems.

Hope this helps.

[RADCODER]

Thank you both for your input. Now the Rad's want to know what the reimbursement is for these tests. Job never done! Again, I appreciate your feedback!

[LScottCPC]

Anthem BC/BS usually likes to have the CT/MRI, etc done prior to the PET. Sometimes its hard to get authorization unless it is done first.