AMA CPT® Assistant - 2016 Issue 12 (December)

Radiology: Nuclear Medicine (Q&A) (December 2016)

December 2016 page 16b Radiology: Nuclear Medicine Question: Is it correct to report code 78803, Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); tomographic (SPECT), for SPECT and/or SPECT/CT parathyroid studies? Answer: No. It is not appropriate to report code 78803 for SPECT or SPECT/CT parathyroid studies. The correct code to report is code 78071, Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), or code 78072, Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization. Question: We are using code 78070, Parathyroid planar imaging (including subtraction...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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