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A myocardial imaging, positron emission tomography (PET), metabolic evaluation study with a concurrently acquired computed tomography (CT) transmission scan is a sophisticated, non-invasive imaging procedure designed to assess the heart's muscle function and its ability to pump blood effectively. This study utilizes radioactive tracers, which are nucleotides injected into the patient's bloodstream, allowing for the visualization of the heart's metabolic activity through advanced computer graphics that generate three-dimensional images. The primary purpose of this PET scan is to detect biochemical changes within the heart cells, which can indicate the early stages of disease processes before any anatomical changes become apparent. This capability is particularly valuable in diagnosing conditions such as coronary artery disease and assessing heart muscle damage resulting from myocardial infarction. The left ventricle plays a crucial role in the circulatory system by pumping oxygen-rich blood to the body, and understanding its function is vital for evaluating cardiac health. The ejection fraction, which measures the percentage of blood ejected from the left ventricle during each contraction, along with the assessment of ventricular wall motion, are key indicators of left ventricular function. These measurements provide significant prognostic information regarding patient outcomes in the context of cardiac disease. The PET procedure is conducted in a specialized environment equipped with a proton (gamma ray) detecting scanner that encircles the patient's body. During the study, the patient is positioned on a movable table, and an intravenous (IV) line is established for the injection of the radioactive tracer. Electrocardiogram (EKG) leads are attached to monitor the heart's electrical activity and synchronize the imaging process. Initially, a baseline CT scan is performed as the table moves through the scanner, capturing essential data over a few minutes. Following this, the radioactive tracer is administered, and the table moves through the scanner at a slower pace to collect PET data, resulting in images of the heart from various angles. The distribution of the radioactive tracer within the heart tissue varies based on blood flow, allowing for the identification of narrowed coronary vessels, damaged tissue, and scar tissue, which are represented by distinct patterns and colors on the generated 3D images. The simultaneous acquisition of PET and CT data enhances the precision of anatomical localization of any damaged tissue or disease processes by utilizing a CT map to correct for soft tissue attenuation.
© Copyright 2025 Coding Ahead. All rights reserved.
The myocardial imaging, positron emission tomography (PET), metabolic evaluation study with a concurrently acquired computed tomography (CT) transmission scan is indicated for various clinical scenarios, particularly those involving cardiac assessment. The following conditions may warrant this procedure:
The procedure for conducting a myocardial imaging, positron emission tomography (PET), metabolic evaluation study with a concurrently acquired computed tomography (CT) transmission scan involves several detailed steps to ensure accurate imaging and assessment of cardiac function. The following steps outline the process:
After the completion of the myocardial imaging, positron emission tomography (PET), metabolic evaluation study with a concurrently acquired computed tomography (CT) transmission scan, the patient may be monitored for a short period to ensure there are no immediate adverse reactions to the radioactive tracer. Patients are typically advised to hydrate well post-procedure to help flush the tracer from their system. The results of the imaging study will be analyzed by a qualified healthcare professional, who will interpret the findings and discuss them with the patient, including any necessary follow-up actions or treatment plans based on the results. It is important for patients to follow any specific post-procedure instructions provided by their healthcare provider to ensure optimal recovery and understanding of their results.
| Short Descr | MYOCRD IMG PET 1 STD W/CT | Medium Descr | MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT | Long Descr | Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | MH | Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | MG | The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | MA | Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition | MC | Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues | ME | The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional | MF | The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2020-01-01 | Added | Code added. |
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