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pet ct & diagnostic ct

  1. #1
    Default pet ct & diagnostic ct
    Medical Coding Books
    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,
    Jessica O'Donnell CPC


  2. Default
    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.

  3. #4
    Default
    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!
    Jessica O'Donnell CPC

  4. #5
    Default
    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.
    Lisa Scott, CPC, RCC

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