READER QUESTIONS:
Ponder PET Documentation Do's
Published on Mon Nov 14, 2005
Question: What documentation should the oncologist provide for tumor imaging codes 78811-78816?
Pennsylvania Subscriber
Answer: You need to check off a number of factors before reporting PET or PET/CT--physician review alone isn't enough.
For 78811-78816 (Tumor imaging, positron emission tomography [PET] ...), your report should include documentation of the following:
- radiopharmaceutical injected
- physician interpretation of the images and comparison to prior imaging studies
- abnormality quantification through calculation of standardized uptake value when clinically indicated. For 78811-78813, you should also see these additional tasks:
- PET data acquisition and reconstruction performed in multiple planes
- physician review of the study, determining adequacy and whether he needs additional acquisitions. Codes 78814-78816 require a little more:
- CT data acquisition and PET data reconstruction in multiple planes
- physician overlay of PET and CT images-- at a computer workstation--to create images for anatomic correlation
- physician review of three sets of images--PET scans; CT anatomical localization data; and the combined, superimposed images.