Nuclear Medicine Question for the Week of November 30, 2015



If we performed a liver spleen static only (CPT 78215), can we also bill a liver imaging single-photon emission computed tomography (SPECT) with CPT 78205 when performed?


The Society of Nuclear Medicine and Molecular Imaging (SNMMI) recommend that only one code from the 78201–78216 series be assigned. It also notes that while 78205–78206 specify liver only, these codes may be used for liver-spleen studies as well. 

In your case, since no vascular flow was done, we would agree with your plan to bill 78205. 

Also remember that when SPECT is done with a limited scan in any area, only SPECT should be coded. Code both planar and SPECT scans only when a whole-body planar scan is done along with a SPECT scan.