Axumin Pet Scan Cpt Code

Cpt pet ct code 78815 78814 78491 78811.

Axumin pet scan cpt code. When submitting claims be sure to enter the correct number of units. The cpt codes for pet imaging are 78811 78816. Most insurance will cover the scan 78816. Which pet procedure codes would be used on axumin claims.

Cpt code 78609 is a non covered service effective january 28 2005. The cpt codes for pet imaging are 78811 78816. Which pet procedure codes would be used on axumin claims. Providers should choose the code that accurately.

Fluciclovine f18 axumin tracer agent. Positron emission tomography scans coverage a54666 cpt hcpcs codes group 1 paragraph. The beauty of the axumin pet scan is that it offers the possibility of detecting small metastatic lesions in the lymph nodes with psa levels in the 1 to 10 range. Effective for claims received on or after july 1 2001 pet modifiers were discontinued and are no longer a claims processing requirement for pet scan claims.

Hcpcs code g0235 is to be billed for non covered indications. Full body pet scan hcpcs code a9588. The other potential application of the axumin scan apart from its usefulness for determining the area of psa relapse is for men who have undergone chemo hormonal treatment for advanced metastatic disease. 4 days ago axumin is an fda approved medicare covered scan that can achieve early detection of recurrent prostate cancer after surgery or radiation.

Providers should choose the code that accurately describes the procedure performed and which is supported by documentation in the medical record. The stickler is often coverage for the axumin injection which is 4 000 wholesale. Axumin is provided in 10mci doses. A breakthrough for prostate cancer.

Also in case anyone needs to check insurance coverage here s the cpt codes you will find helpful to know.