Nuclear Medicine Question for the Week of July 11, 2016

Question:

Question:

Is there a code for a stress myocardial perfusion scan only? My cardiologist says that rest imaging is not always necessary.

Answer:

Answer:

As listed below, there are four myocardial perfusion scan codes for gamma camera imaging. Two of them are single study only (i.e., stress only or rest only), and two are for multiple studies (i.e., rest and stress, or rest and redistribution). Code 78451 would be reported for a SPECT stress exam only, and code 78453 would be reported for a planar stress exam only.

78451

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

78452

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

78453

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

78454

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

For PET myocardial perfusion imaging, the code for a stress scan only is 78491, with code A9555 reported for the Rb-82 dose.