Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
RedactPHI
HIPAA-Compliant PHI Redaction
DetectICD10CM
ICD-10-CM Code Detection
Log in Register free account
1 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account

Official Description

Brain imaging, positron emission tomography (PET); perfusion evaluation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Brain imaging using positron emission tomography (PET) is a sophisticated diagnostic procedure that leverages the properties of a radiolabeled isotope tracer to visualize and evaluate brain perfusion. This imaging technique is pivotal in assessing blood flow and circulation within the brain, which can be critical for diagnosing various neurological conditions. During the PET scan, a radioactive substance is administered to the patient, allowing for the detection of positrons emitted from the tracer as it circulates through the body. The resulting images provide a three-dimensional representation of brain activity, highlighting areas of increased or decreased blood flow based on the uptake of the tracer by brain tissue. The procedure involves establishing an intravenous line for the injection of the tracer, followed by a waiting period to ensure adequate distribution before imaging. The PET scanner is then positioned over the patient's head and neck to capture detailed tomographic views of the brain, which are subsequently interpreted by a physician who generates a comprehensive report of the findings. This advanced imaging modality is essential for understanding cerebral perfusion dynamics and can aid in the diagnosis and management of various neurological disorders.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure of brain imaging using positron emission tomography (PET) is indicated for various clinical scenarios where assessment of cerebral perfusion is necessary. The following conditions may warrant the use of this imaging technique:

  • Evaluation of Cerebral Ischemia - To assess areas of the brain that may be experiencing reduced blood flow, which can indicate ischemic conditions.
  • Diagnosis of Neurodegenerative Disorders - To aid in the diagnosis of conditions such as Alzheimer's disease, where changes in brain perfusion patterns can be observed.
  • Assessment of Brain Tumors - To evaluate the metabolic activity and perfusion of brain tumors, assisting in treatment planning and monitoring.
  • Investigation of Seizure Disorders - To localize areas of the brain involved in seizure activity by observing perfusion changes during ictal and interictal states.

2. Procedure

The procedure for brain imaging via positron emission tomography (PET) involves several critical steps to ensure accurate imaging and evaluation of brain perfusion. The following outlines the procedural steps:

  • Step 1: Establishing Intravenous Access - An intravenous line is established to facilitate the administration of the radiolabeled isotope tracer. This step is crucial as it allows for the direct injection of the tracer into the patient's circulatory system.
  • Step 2: Injection of Radiolabeled Isotope Tracer - The radiolabeled isotope tracer is injected through the established intravenous line. This tracer is designed to emit positrons, which will be detected during the imaging process.
  • Step 3: Waiting Period - After the injection, a prescribed waiting period is observed to allow the tracer to circulate and reach the target areas in the brain. This period is essential for optimal imaging results.
  • Step 4: Positioning the Patient - The patient is positioned on the imaging table with the PET scanner aligned over the head and neck. Proper positioning is vital to ensure that the areas of interest are adequately captured during the scan.
  • Step 5: Acquisition of Tomographic Views - The PET scanner acquires tomographic views of the brain, capturing images that reflect the perfusion and blood circulation based on the uptake of the tracer. These images are displayed in various colors or brightness levels to indicate different perfusion rates.
  • Step 6: Interpretation of Results - Following the imaging, a physician interprets the acquired images and generates a written report detailing the findings, which can be used for further clinical decision-making.

3. Post-Procedure

After the completion of the PET imaging procedure, patients may be monitored briefly to ensure there are no immediate adverse reactions to the radiolabeled tracer. It is generally expected that patients can resume normal activities shortly after the procedure, as there are no significant recovery requirements associated with this imaging technique. However, patients may be advised to drink plenty of fluids to help flush the radioactive tracer from their system. The physician will provide the patient with the results of the imaging study in a timely manner, which will include a detailed report of the findings and any recommended follow-up actions based on the results.

Short Descr BRAIN IMAGING (PET)
Medium Descr BRAIN IMAGING PET PERFUSION EVALUATION
Long Descr Brain imaging, positron emission tomography (PET); perfusion evaluation
Status Code Non-Covered Service
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I1E - Standard imaging - nuclear medicine
MUE 0
CCS Clinical Classification 209 - Radioisotope scan and function studies
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
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZ Item or service expected to be denied as not reasonable and necessary
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
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
PI Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing
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
Date
Action
Notes
1994-01-01 Added First appearance in code book in 1994.
Code
Description
Code
Description
Code
Description
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"