When per formed during exercise and/or pharmacologic stress, the appropriate stress testing code from the 93015 to 93018 series should be reported in addition to code(s) 78451, 78452, 78453, 78454, 78472, 78473, 78481, 78491, and 78492.” ![]() CPT is clear in the cardiovascular introductory section (as noted below) for providers to code and bill separately for the stress test, in addition, to the nuclear cardiology procedure.ĬPT states, “Myocardial perfusion and cardiac blood pool imaging studies may be performed at rest and/or during stress. Q: Is it appropriate to bill the above cardiac stress test codes in conjunction with CPT 78452 since the code describes MPI SPECT studies performed at rest and/ or stress?Ī: Stress testing is often used in conjunction with several nuclear cardiology procedures. However, if either is not performed, then it is still acceptable to use this code. The new parenthetical - (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed) - was structured to indicate that when wall motion and ejection fraction are performed, it would be considered to be inclusive in this newly bundled CPT code. If we do not perform wall motion does that mean we cannot bill CPT 78452?Ī: No. Q: Occasionally we are not able to gate a study and are not able to obtain a wall motion. Can I use any of the CPT codes that describe MPI SPECT?Ī: No! When deciding which code to use for any procedure, it is critical that coders select the name of the procedure or service that accurately identifies the service performed and not just choose a CPT code that merely approximates the service provided.ĬPT/HCPCS Number Code of Units Descriptionĩ3015* 1 Cardiovascular stress test,w interpretation and report Q: The above example used 78452 to describe the imaging study. * Note: Also bill any appropriate HCPCS code for the use of radiopharmaceuticals or drugs administered during the MPI study or stress test.* Choose appropriate code(s) from the stress test series. Reinjection 93015-93018: Cardiovascular stress testing. Q: Which CPT codes should be used when describing MPI SPECT studies?Ī: 78451: Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed) single study, at rest or stress (exercise or pharmacologic)ħ8452: Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed) multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest ![]()
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