Can a Nurse or Nurse Practitioner Complete the Pre- and Post-PET Forms?
We anticipate that ancillary personnel often will complete much of both the pre-PET and post-PET forms, but will ask the referring physician to provide the answer to the intended management question and to review the other responses for accuracy. How to Obtain Medicare Reimbursement The NOPR database will notify the PET facility when all case data have been entered. After it receives this notification and not before, the PET facility (and the interpreting physician, if technical and professional component billing are performed separately) can bill CMS for the study. Billing should be performed using the appropriate CPT code for (1) tumor PET imaging (78811, 78812, or 78813), (2) tumor PET/CT imaging (78814, 78815, or 78816), or (3) for brain imaging (78608) when a dedicated brain PET study was done for brain tumor evaluation.
We anticipate that ancillary personnel often will complete much of both the pre-PET and post-PET forms, but the referring physician must provide the answer to the intended management question and sign the form to attest to its accuracy. How to Obtain Medicare Reimbursement The NOPR database will notify the PET facility when all case data have been entered. After it receives this notification and not before, the PET facility (and the interpreting physician, if technical and professional component billing are performed separately) can bill CMS for the study. Billing should be performed using the appropriate CPT code for (1) tumor PET imaging (78811, 78812, or 78813), (2) tumor PET/CT imaging (78814, 78815, or 78816), or (3) for brain imaging (78608) when a dedicated brain PET study was done for brain tumor evaluation.
