Many private insurance companies cover the same indications as Medicare. In some case they may provide additional coverage or they provide less coverage.
Please contact us to discuss private insurance coverage.
CPT Codes for Billing Private/Commercial Payers
| CPT/ HCPCS |
Status | Description |
| A 4641 | Supply of Radiopharmaceutical FDG | |
| A 4641 | Rubidium RB-8 | |
| 78459 | C | Heart muscle imaging (PET) Metabolic evaluation |
| 78491 | I | Heart (PET) perfusion single (rest or stress) |
| 78492 | I | Heart (PET) perfusion multiple (rest & stress) |
| 78608 | N | Brain imaging (PET) Metabolic evaluation |
| 78609 | N | Brain imaging (PET) Perfusion evaluation |
| 78811 | I | Tumor imaging (PET) limited |
| 78812 | I | Tumor imaging (PET) skull-thigh |
| 78813 | I | Tumor imaging (PET) full body |
| 78814 | I | Tumor imaging (PET/CT) limited |
| 78815 | I | Tumor imaging (PET/CT) skull-thigh |
| 78816 | I | Tumor imaging (PET/CT) full body |
| 78810 | Deleted 01.01.05 | |
| 78990 | Deleted 01.01.05 |
Use the appropriate PET and PET/CT CPT codes for billing private/commercial payers
