Menu
Menu
Question:
Please advise if CPT® code 78452 should be coded with 78830. The technique states: A Lexiscan stress protocol was used. 12 mCi of Tc-99m Tetrofosmin was administered intravenously at rest and 43.2 mCi was administered intravenously at stress. Gated SPECT images were obtained and processed. CT images were obtained through the heart. LIMITATIONS: No prone images were obtained. The low-dose CT acquisition was performed only for attenuation correction/activity localization. There is no intravenous contrast, further limiting the CT component of the study.
Answer:
No, you would just code 78452. 78452 already includes SPECT, so if you also code 78830 you are coding SPECT twice. In addition, your doctor said he did the CT for attenuation correction (“The low-dose CT acquisition was performed only for attenuation correction/activity localization”), and the code description for 78452 specifically includes attenuation correction when performed.
This question was answered in an edition of our Radiology Compliance Manager. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
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.
CPT is a registered trademark of the American Medical Association.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address: 5874 Blackshire Path, #13, Inver Grove Heights, MN 55076
Phone: (800) 252-1578
Email: support@medlearnmedia.com
Hours: 9am – 5pm CT
Copyright © 2024 MedLearn Publishing. Powered by MedLearn Media.
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ is just $99 for a limited time! Use code WorldHealth24 at checkout.