TMPPM 2008 > Texas Medicaid Services > Radiological and Physiological Laboratory and Portable X-Ray Supplier > Benefits and Limitations

   
 

39.3.2 Positron-Emission Tomography (PET) Scans

A PET scan is a noninvasive nuclear medicine procedure that images the chemical activity of body organs and tissues. The PET scan uses electronic detection of short-lived positron-emitting radiopharmaceuticals to measure metabolic, biochemical, and functional activity in tissue. A scanner then measures radioactivity as it is dispersed throughout the body, creating three-dimensional pictures of tissue function.

The following procedure codes are a benefit of the Texas Medicaid Program. Prior authorization is required with documentation of medical necessity.

Procedure Codes

4/I/T-78608

4/I/T-78609

4/I/T-78811

4/I/T-78812

4/I/T-78813

4/I/T-78814

4/I/T-78815

4/I/T-78816


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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