Reporting Nuclear Medicine SPECT Imaging Procedures (October 2020)

October 2020 pages 3-7 Reporting Nuclear Medicine SPECT Imaging Procedures In response to changing technology, significant changes were made in the Nuclear Medicine subsection of the Radiology section of the Current Procedural Terminology (CPT®) 2020 code set to address the gaps in coding for several types of single-photon emission computed tomography (SPECT) computerized tomography (CT) studies and to account for the additional resources used in nuclear medicine procedures. Three new codes (78830-78832) were added to report SPECT and SPECT-CT studies, and one new add-on code (78835) was added to report radiopharmaceutical quantification measurement(s). With creation of these new...

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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 explains the October 2020 CPT updates for nuclear medicine SPECT imaging procedures. It is intended for coders, billers, and clinical staff who need to understand how the revised Radiology/Nuclear Medicine code structure affects reporting of planar, SPECT, and SPECT-CT studies, as well as related radiopharmaceutical quantification and supply coding. The article also discusses broad documentation and reporting considerations, including how the updated code families are organized and how organ-specific codes relate to the other procedures subsection.

Why This Topic Matters

The 2020 revisions changed how several nuclear medicine imaging services are represented in CPT, so accurate awareness of the updated code families and related reporting framework is important for compliant claim preparation and documentation review.

Article Sections

  1. Other Procedures

    Introduces the revised nuclear medicine imaging code family in the Other Procedures subsection and notes the broad scope of planar, SPECT, and SPECT-CT reporting discussed in the article.

  2. Overview of Coding Changes

    Summarizes the general CPT 2020 restructuring of nuclear medicine imaging codes and the broad organizational changes affecting reporting categories and related notes.

  3. Reporting Radiopharmaceutical(s) or Drug(s)

    Explains the article’s discussion of how radiopharmaceuticals and drugs are addressed alongside nuclear medicine imaging services and the role of related supply reporting.

  4. Reporting Additional Studies

    Covers the article’s discussion of additional imaging studies, separate reporting considerations, and the circumstances under which supplementary procedures may be addressed.

  5. Clinical Example (78800)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised nuclear medicine imaging codes.

  6. Clinical Example (78801)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised nuclear medicine imaging codes.

  7. Clinical Example (78802)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised nuclear medicine imaging codes.

  8. Clinical Example (78803)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised nuclear medicine imaging codes.

  9. Clinical Example (78804)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised nuclear medicine imaging codes.

  10. Clinical Example (78830)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised SPECT-CT imaging codes.

  11. Clinical Example (78831)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised SPECT imaging codes.

  12. Clinical Example (78832)

    Presents a typical clinical scenario and corresponding procedural narrative associated with one of the revised SPECT-CT imaging codes.

  13. Clinical Example (78835)

    Presents a typical clinical scenario and corresponding procedural narrative associated with the add-on quantification service discussed in the article.

What You Will Learn

  • How the 2020 CPT nuclear medicine imaging code family was reorganized
  • Which broad categories of SPECT and SPECT-CT services are discussed
  • How the article frames related radiopharmaceutical and supply reporting
  • How the article presents clinical examples tied to the revised code structure
  • How the article situates organ-specific codes versus other procedures codes

Who Should Read This

  • Medical coders
  • Radiology and nuclear medicine billers
  • Nuclear medicine technologists
  • Physician documentation staff
  • Compliance and revenue cycle professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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