Coding Reference - Cardiac PET/CT Billing | A3i Health

Detailed Coding Reference

Comprehensive guide to cardiac PET/CT CPT codes, modifiers, and billing requirements

Primary Cardiac PET/CT Procedure Codes

CPT Code Description Global Professional (26) Technical (TC)
78430 Myocardial perfusion imaging, positron emission tomography (PET), single study, rest or stress (exercise or pharmacologic) $1,535.83 $72.82 $1,463.01
78431 Myocardial perfusion imaging, positron emission tomography (PET), multiple studies, rest or stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan $1,850.00 $185.00 $1,665.00
78434 Add-on: Absolute quantification of myocardial blood flow $425.00 $85.00 $340.00

Important Notes:

  • CPT 78430: Use for single study only (rest OR stress, not both)
  • CPT 78431: Use for multiple studies (rest AND stress)
  • CPT 78434: Only when quantitative flow analysis performed and documented
  • CPT 78491: Use for single study without CT
  • CPT 78492: Use for multiple studies without CT
  • Rates shown are Medicare national averages for 2025 - actual rates vary by locality

Alternative Myocardial PET Codes (Without CT)

CPT Code Description Medicare Rate Use Case
78491 Myocardial PET perfusion, single study rest OR stress (exercise or pharmacologic) $1,533.33 Rest OR stress only, no CT
78492 Myocardial PET perfusion, multiple studies (both rest AND stress) $1,544.44 Rest AND stress, no CT

Note: These codes are used less frequently now that CT attenuation correction is standard practice

Radiopharmaceuticals (HCPCS A Codes)

HCPCS Code Agent Description Unit Definition Medicare Rate Billing Notes
A9555 Rubidium Rb-82, diagnostic Per study dose, up to 60 mCi $532.65 per dose or Contractor priced (each MAC set's its price) Bill 2 units for rest/stress study

Critical Billing Requirements:

  • Same Claim Submission: Radiopharmaceuticals must be billed on the same claim as the procedure code
  • Separate PA May Be Required: Some commercial payers require separate authorization for radiopharmaceuticals
  • 2025 CMS Policy Change: Diagnostic radiopharmaceuticals with per-day cost >$630 now receive separate payment in HOPPS setting
  • Unit Accuracy: Billing incorrect units is a leading cause of denials

Pharmacologic Stress Agents (HCPCS J Codes)

HCPCS Code Agent Unit Definition Standard Dose Units to Bill Medicare Rate
J2785 Regadenoson (Lexiscan) Per 0.1mg 0.4mg 4 units $125.00

JZ Modifier Requirement:

Use modifier JZ to indicate zero drug amount discarded/not administered to any patient for single-use vials with no waste. Required by CMS for accurate drug pricing data.

Example: J2785 x 4 units, JZ (for standard 0.4mg regadenoson dose with no waste)

Essential CPT Modifiers for Cardiac PET/CT

Modifier Description When to Use Example
26 Professional Component Physician interpretation only (no equipment ownership) 78431-26 (reading only)
TC Technical Component Facility charges only (equipment, staff, supplies) 78431-TC (hospital facility)
59 Distinct Procedural Service Separate procedure performed same day Cardiac PET + separate diagnostic CT
76 Repeat Procedure by Same Physician Study repeated same day due to technical issues 78431, 78431-76
77 Repeat Procedure by Another Physician Different physician repeats/reinterprets study Second opinion reading
JZ Zero Drug Amount Discarded Single-dose vial with no waste J2785 x 4, JZ
JW Drug Amount Discarded Document wasted drug from multi-dose vial J2785 x 10, JW (if some discarded)

Place of Service (POS) Codes

POS Code Setting Billing Implications
11 Office Physician office/clinic. Bill global codes (no modifiers unless split billing)
22 Outpatient Hospital Hospital bills TC, physician bills 26. HOPPS payment system applies
21 Inpatient Hospital Physician bills professional component only. Included in DRG for facility
24 Ambulatory Surgical Center Limited cardiac PET performed in ASC. ASC payment system
49 Independent Clinic IDTF or similar. MPFS payment for both components

Common Supporting ICD-10 Diagnosis Codes

Medical necessity must be established through appropriate diagnosis codes. Common indications include:

Chest Pain Syndromes

  • R07.9 - Chest pain, unspecified
  • R07.2 - Precordial pain
  • R07.89 - Other chest pain
  • I20.0 - Unstable angina
  • I20.8 - Other forms of angina pectoris
  • I20.9 - Angina pectoris, unspecified

Coronary Artery Disease

  • I25.10 - Atherosclerotic heart disease without angina
  • I25.110 - CAD of native coronary artery with unstable angina
  • I25.119 - CAD of native coronary artery with angina
  • I25.700 - Atherosclerosis of coronary artery bypass graft
  • Z95.1 - Presence of CABG

Heart Failure & Cardiomyopathy

  • I50.9 - Heart failure, unspecified
  • I50.21 - Acute systolic heart failure
  • I50.23 - Acute on chronic systolic heart failure
  • I42.0 - Dilated cardiomyopathy
  • I42.9 - Cardiomyopathy, unspecified

Cardiac Symptoms

  • R06.02 - Shortness of breath
  • R53.83 - Other fatigue
  • R00.2 - Palpitations
  • R55 - Syncope and collapse
  • R94.31 - Abnormal ECG

Risk Factors

  • E11.9 - Type 2 diabetes without complications
  • I10 - Essential hypertension
  • E78.5 - Hyperlipidemia
  • Z82.49 - Family history of CAD
  • F17.210 - Nicotine dependence

Post-Procedural Evaluation

  • Z95.5 - Presence of coronary angioplasty implant/stent
  • Z95.810 - Presence of automatic implantable cardiac defibrillator
  • Z95.0 - Presence of cardiac pacemaker

Important: List diagnosis codes is informational only. Physician is always responsible for diagnosis code selection. Primary diagnosis should be the main reason for the study. Include all relevant risk factors and comorbidities to support medical necessity.