Question:

When should we bill for one acquisition vs two acquisitions when reporting 78803?

Answer:

In 2023, CPT® added the terms “or acquisition”, and “or separate acquisitions (e.g., lung ventilation and perfusion),” for clarification. If the SPECT or SPECT/CT camera head is sufficiently large enough for multiple areas and only one SPECT or SPECT/CT acquisition is taken, bill the single acquisition code. Alternatively, when two separate SPECT or SPECT/CT acquisitions are performed of the same area, each with different tracers, bill the two acquisition code. (The most common occurrence is the V/P lung scan. This example is used in the code description to assist the coders; however, it is not the only use.)

This question was answered in our Nuclear Medicine & PET Coder. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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