HCPCS Code A9588 A9588 is a valid 2021 HCPCS code for Fluciclovine f-18, diagnostic, 1 millicurie or just “Fluciclovine f-18” for short, used in Diagnostic radiology.

How do I bill for Axumin?

One Medicaid unit of coverage for Axumin is 1 study dose = 370 MBq (10mCi). Providers must bill 11-digit National Drug Codes (NDCs) and appropriate NDC units. The NDC for Axumin is 69932-0001-01. The NDC units should be reported as “UN1.”

What is the CPT code for PET CT scan?

Positron Emission Tomography (PET) is a nuclear medicine imaging study used to detect normal and abnormal tissues. All PET scan services are billed using PET or PET/ Computed Tomography (CT) Current Procedural Terminology (CPT) codes 78459, 78491, 78492, 78608, and 78811 through 78816.

What is the CPT code for a PET scan of the chest?

In medical coding, CPT code 78815 & 78816 are used mostly commonly for PET/CT scan procedures.

How do you code a PET scan?

When a diagnostic CT scan is performed on the PET/CT scanner, the provider must report the PET scan using a code from series 78811–78813. These codes represent PET without concurrently acquired CT.

How much does Axumin cost?

On MDsave, the cost of an Axumin Drug for PET Scan (add-on) is $4,220. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave. Read more about how MDsave works.

What is Axumin scan?

Axumin is an FDA-approved PET/CT scan used to capture recurrent prostate cancer in men with rising PSA who had prostate cancer treated via surgery or radiation.

What diagnosis will cover a PET scan?

Your healthcare provider may order a PET scan to check for signs of: Cancer, including breast cancer, lung cancer and thyroid cancer. Coronary artery disease, heart attack or other heart problems. Brain disorders, such as brain tumors, epilepsy, dementia and Alzheimer’s disease.

What is the CPT code for FDG PET scan?

For FDG tumor brain imaging use CPT 78608, not the more general PET tumor codes CPT 78811-78816. As with any nuclear medicine coding, always use organ-specific coding if available.

What is FDG in a PET scan?

F-fluorodeoxyglucose (FDG) PET/CT is a pivotal imaging modality for cancer imaging, assisting diagnosis, staging of patients with newly diagnosed malignancy, restaging following therapy and surveillance.

What is a PET scan and what does it do?

A positron emission tomography (PET) scan is an imaging test that can help reveal the metabolic or biochemical function of your tissues and organs. The PET scan uses a radioactive drug (tracer) to show both normal and abnormal metabolic activity.

How much does a PET scan cost?

The average PET scan cost in the United States is $5,750, though prices can range from $1,250 to $9,225. One factor that can greatly affect the cost of your procedure is whether you have it performed in an inpatient facility, like a hospital, or an outpatient surgery center.

Is CPT 78452 nuclear medicine?

CPT^® 78452, Under Diagnostic Nuclear Medicine Procedures on the Cardiovascular System. The Current Procedural Terminology (CPT^®) code 78452 as maintained by American Medical Association, is a medical procedural code under the range – Diagnostic Nuclear Medicine Procedures on the Cardiovascular System.

How are PET scans read?

During PET scans, tracers are “attached” to compounds such as glucose. By detecting radioactive glucose, the PET scan is able to detect which areas of the brain are utilizing glucose at the highest rates. Your doctor will look at the scan to see how the brain is working and to check for any abnormalities.

What is the CPT code for proton therapy?

Proton Beam Therapy (APCs 0664 and 0667) APC 0664 (Level I Proton Beam Radiation Therapy) includes two procedures: CPT code 77520 (Proton treatment delivery; simple, without compensation) and CPT code 77522 (Proton treatment delivery; simple, with compensation).