If one of my cardiology offices does a two-day SPECT study, rest on one day, and stress on another, can they bill 78452 twice?


No, they would report 78452 only once. Code 78452 includes multiple studies and is reported only once, whether the two exams take place on the same day or different days.

78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

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