Reimbursement Codes/0721T

CPT III · AI imaging · Proposed

0721T: Quantitative CT tissue characterisation without concurrent CT

Category III code for quantitative CT tissue characterisation from prior imaging when no concurrent CT of the analysed structure is acquired. Public summaries identify Optellum lung cancer prediction use cases for this family.

About this code

Category III code for quantitative CT tissue characterisation from prior imaging when no concurrent CT of the analysed structure is acquired. Public summaries identify Optellum lung cancer prediction use cases for this family. Proposed SaMS, O1, APC 1508. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.

Medicare statusProposed SaMS, O1, APC 1508.

PaymentProposed CY2027 OPPS $650.50 (APC 1508).

What changed

CMS proposes to keep New Technology APC 1508 and assign O1 rather than reprice from claims.

Who bills under it

Hospital outpatient departments using quantitative CT tissue characterisation software.

Code
0721T
Code type
CPT III
Category
AI imaging
Rule status
Proposed

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