Nuclear Medicine Question for the Week of August 15, 2016

Question:

Question:

We were told that a hepatobiliary scan (78226) must include gallbladder imaging. We have a report that notes that the gallbladder did not fill. Would we report this with 78226-52?

Answer:

Answer:

You would report it with 78226. The code description for 78226 says “including gallbladder when present”. Modifier 52 is for “reduced services”; it is not necessary in this situation, since the main code already is written to include the possibilities of the gallbladder being either present or absent.