Radiology: Nuclear Medicine (Q&A) (November 2018)

November 2018 page 11c Radiology: Nuclear Medicine Question: Is code 78469 the correct code to report for a single planar imaging session alone or with single photon emission computed tomography (SPECT) imaging using 99mTc PYP to look for cardiac amyloidosis? Answer: No, code 78469, Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification, should not be reported for imaging of cardiac amyloidosis. Code 78469 was established to report imaging an infarct: cardiac amyloidosis is not an infarct. Instead, report the following codes: For a single planar imaging session alone (without a SPECT study), report code 78800, Radiopharmaceutical...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a nuclear medicine coding question involving cardiac amyloidosis imaging and the related radiopharmaceutical agent. It explains the general coding context for planar and tomographic imaging, references applicable CPT and HCPCS Level II reporting, and is aimed at radiology and coding professionals seeking to understand how the service is categorized in the source guidance.

Why This Topic Matters

Accurate nuclear medicine reporting depends on matching the coded service to the imaging performed and the radiopharmaceutical supplied. This article is relevant for professionals who need to identify the coding framework discussed in the source and understand the broad reporting context for this type of exam.

Article Sections

  1. November 2018 page 11c

    A short Q&A item in the radiology nuclear medicine section discussing coding context for a cardiac amyloidosis imaging question and related radiopharmaceutical reporting.

What You Will Learn

  • The coding context discussed for cardiac amyloidosis imaging
  • How the article frames planar and tomographic nuclear medicine services
  • Which coding systems are referenced for the imaging service and radiopharmaceutical
  • The general type of radiology question addressed in the Q&A

Who Should Read This

  • Radiology coders
  • Nuclear medicine staff
  • CPT and HCPCS billing professionals
  • Compliance and coding educators

Codes Discussed


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