Nuclear Medicine Question for the Week of January 23, 2017

Question:

Question:

What is the correct way to bill for a three-phase bone scan (78315) and a SPECT scan (78320) performed on the same day? My research indicates that if the three-phase scan is bundled into the SPECT scan, it can be billed with a modifier. Is this correct?

Answer:

Answer:

According to the Society for Nuclear Medicine and Molecular Imaging (SNMMI), you should bill either 78315 or 78320, but not both. Just because you can bypass the correct coding initiative (CCI) edit does not mean that you should.