TABLE 2

Medicare 2004 HOPPS Payment Rates for FDG PET

HCPCS/CPT codesAPC codeMedicare APC paymentTotal scan payments
FDG, per doseC17751775$324.48
Dedicated FDG PETG0125, G0210–G0218, G0220–G0229, G0253–G0254, G02961516$1,450.00$1,774.48
Gamma Camera FDG PETG0231–G02341516$1,450.00$1,774.48
Myocardial ViabilityG02301516$1,450.00$1,774.48
Myocardial Viability784590285$772.08$1,096.59