Question:

A patient came in for a whole body thyroid cancer metastases imaging and a SPECT/CT of the neck and chest also was performed. What CPT® code are we to assign here since there is no CPT code for the SPECT/CT?

Answer:

When performing a whole-body thyroid metastasis scan with SPECT/CT, you would report the three codes below-–78018 for the whole body scan, 78803 for the SPECT, and 78099 for the computed tomography (CT) fusion for localization.

78018 Thyroid carcinoma metastases imaging; whole body
78803 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); tomographic (SPECT)
78099 Unlisted endocrine procedure, diagnostic nuclear medicine

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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.

CPT is a registered trademark of the American Medical Association.