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G-code Coverage description G0030 PET myocardial perfusion imaging (following previous PET G0030–G0047); single study; rest or stress (exercise or pharmacologic) G0031 PET myocardial perfusion imaging (following previous PET G0030–G0047); multiple study; rest or stress (exercise or pharmacologic) G0032 PET myocardial perfusion imaging (following rest SPECT, 78464); single study; rest or stress (exercise or pharmacologic) G0033 PET myocardial perfusion imaging (following rest SPECT, 78464); multiple study; rest or stress (exercise or pharmacologic) G0034 PET myocardial perfusion imaging (following stress SPECT, 78465); single study; rest or stress (exercise or pharmacologic) G0035 PET myocardial perfusion imaging (following stress SPECT, 78465); multiple study; rest or stress (exercise or pharmacologic) G0036 PET myocardial perfusion imaging (following coronary angiography, 93510–93529); single study; rest or stress (exercise or pharmacologic) G0037 PET myocardial perfusion imaging (following coronary angiography, 93510–93529); multiple study; rest or stress (exercise or pharmacologic) G0038 PET myocardial perfusion imaging (following stress planar myocardial perfusion, 78460); single study; rest or stress (exercise or pharmacologic) G0039 PET myocardial perfusion imaging (following stress planar myocardial perfusion, 78460); multiple study; rest or stress (exercise or pharmacologic) G0040 PET myocardial perfusion imaging (following stress cardiogram, 93350); single study; rest or stress (exercise or pharmacologic) G0041 PET myocardial perfusion imaging (following stress cardiogram, 93350); multiple study; rest or stress (exercise or pharmacologic) G0042 PET myocardial perfusion imaging (following stress nuclear ventriculogram, 78481 or 78483); single study; rest or stress (exercise or pharmacologic) G0043 PET myocardial perfusion imaging (following stress nuclear ventriculogram, 78481 or 78483); multiple study; rest or stress (exercise or pharmacologic) G0044 PET myocardial perfusion imaging (following rest EKG, 93000); single study; rest or stress (exercise or pharmacologic) G0045 PET myocardial perfusion imaging (following rest EKG, 93000); multiple study; rest or stress (exercise or pharmacologic) G0046 PET myocardial perfusion imaging (following stress EKG, 93015); single study; rest or stress (exercise or pharmacologic) G0047 PET myocardial perfusion imaging (following stress EKG, 93015); multiple study; rest or stress (exercise or pharmacologic) G-code Coverage description G0125 PET imaging regional or whole body; single pulmonary nodule G0210 PET imaging whole body; diagnosis; lung cancer, non–small cell G0211 PET imaging whole body; initial staging; lung cancer; non–small cell (replaces G0126) G0212 PET imaging whole body; restaging; lung cancer; non–small cell G0213 PET imaging whole body; diagnosis; colorectal cancer G0214 PET imaging whole body; initial staging; colorectal cancer G0215 PET imaging whole body; restaging; colorectal cancer (replaces G0163) G0216 PET imaging whole body; diagnosis; melanoma G0217 PET imaging whole body; initial staging; melanoma G0218 PET imaging whole body; restaging; melanoma (replaces G0165) G0219 PET imaging whole body; melanoma for noncovered indications G0220 PET imaging whole body; diagnosis; lymphoma G0221 PET imaging whole body; initial staging; lymphoma (replaces G0164) G0222 PET imaging whole body; restaging; lymphoma (replaces G0164) G0223 PET imaging whole body or regional; diagnosis; head and neck cancer; excluding thyroid and CNS cancers G0224 PET imaging whole body or regional; initial staging; head and neck cancer; excluding thyroid and CNS cancers G0225 PET imaging whole body or regional; restaging; head and neck cancer, excluding thyroid and CNS cancers G0226 PET imaging whole body; diagnosis; esophageal cancer G0227 PET imaging whole body; initial staging; esophageal cancer G0228 PET imaging whole body; restaging; esophageal cancer G0229 PET imaging; metabolic brain imaging for presurgical evaluation of refractory seizures G0230 PET imaging; metabolic assessment for myocardial viability following inconclusive SPECT study G-code Coverage description G0125 PET imaging regional or whole body; single pulmonary nodule G0211 PET imaging whole body; initial staging; lung cancer; non–small cell (replaces G0126) G0215 PET imaging whole body; restaging; colorectal cancer (replaces G0163) G0218 PET imaging whole body; restaging; melanoma (replaces G0165) G0221 PET imaging whole body; initial staging; lymphoma (replaces G0164) G0222 PET imaging whole body; restaging; lymphoma (replaces G0164) PET procedure CPT code Metabolic evaluation of tumors 78810 Cardiac metabolism 78459 Cardiac perfusion 78491 or 78492 Brain metabolism 78608 Brain perfusion 78609 Radiopharmaceutical 78990, or S8085 for FDG
