shegun4
New
I understand that an initial PET CT with a diagnosis code 518.89, pulmonary nodule, would require modifier PI. I understand that if a subsequent PET CT with a diagnosis code 518.89, pulmonary nodule, would require modifier PI if it is a new nodule. If a subsequent PET CT with a diagnosis code 518.89 is NOT for a new nodule, but reexamining the previously studied nodules, would the required modifier be PI or PS? I am confused on this one, since I was told "if it has not been diagnosed cancer, then you wouldn't be restaging so it would be PI." (Medicare doesn't pay for 78815 PS with dx 518.89.)