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