Question:
In the past, we were able to report a whole-body planar scan (78802) with a SPECT scan (78803). However, there is now an edit prohibiting that. Do you know why?
Answer:
No, the reason is not known. The guideline for years was that whole-body planar imaging may be billed with SPECT when both are performed. The new edits as of January 1, 2020, prohibit billing those codes together. We do know that some errors were made in the 2020 edits, so keep watch on the CMS website for updates and deletions.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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