For the Week of July 27, 2015
What code(s) would we assign for SPECT/computed tomography (CT) scans?
Other than CPT code 78072, there are no SPECT/CT codes.
For a gastrointestinal (GI) bleed study with SPECT/CT, the Society for Nuclear Medicine and Molecular Imaging (SNMMI) suggests assigning an unlisted GI nuclear medicine code (78299) along with GI bleed study code 78278. Presumably, if SPECT/CT is done in other body areas, then the unlisted code for that body area plus the “regular” nuclear medicine code would be assigned (e.g., 78452, 78499).
Do be aware, however, that SPECT/CT may not be paid. Besides the fact that an unlisted code must be used, some payers specifically note that SPECT/CT is non-covered.
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