The shielding requirements for the pedCAT® are typically match those for standard X-Ray equipment. Required room modifications that vary depending on factors such as location of room, distance to other offices and desk space, wall thickness, etc. Lead lined walls generally are not necessary. Your pedCAT® purchase includes a room survey and evaluation by a radiation physicist.
The pedCAT® is approved by the FDA to scan the foot & ankle region only. The InReach system can scan upper and lower extremities.
The pedCAT has two fields of view settings. A scan in the partial field of view setting takes 20 seconds. A scan in the large field of view setting takes 48 seconds.
The InReach has one field of view setting. A scan in the InReach takes about 23 seconds.
In general, healthcare companies do reimburse specialists for cone beam CT scans taken at the point-of-care.
The most common CPT code used to bill for pedCAT scans is 73700 - CT lower extremity w/o contrast. This code can also be used for lower extremity InReach scans.
The most common CPT code used to bill for InReach scans is 73200 - CT upper extremity w/o contrast.
Other CPT codes that may be applicable are:
73701 - CT lower extremity w/ contrast
76376 - 3D render with interpretation post-processing
76380 - Follow-up study
The effective dose to the patient ranges between 2 - 6 micro Sieverts for a pedCAT or Inreach scan. To put this in perspective, the average American is exposed to about 8 micro Sieverts of background radiation in a day.