Codes to Bill FDG PET Scans Performed on Dedicated PET Scanners
| 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 |