What are the Interpreting Physicians Responsibilities for NaF-PET studies?
The interpreting physician must agree to complete a brief PET Scan Assessment form summarizing the NaF-PET findings. This must be completed and returned to the PET facility prior to the PET scan and the Post-PET Form is completed and returned to the PET facility within 30 days of the NaF-PET scan. 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 for FDG-PET should be performed using the appropriate CPT code for (1) body PET imaging (78811, 78812, or 78813), (2) body 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. Billing for NaF-PET should be performed using the appropriate CPT code for (1) body PET imaging (788
