Can we report 78445 with any other nuclear medicine procedures?
Do not report 78445 in addition to any other nuclear medicine procedure. As the SNMMI coding committee states, “CPT® 78445 is a single-body-area flow imaging study and a stand-alone procedure code and is not intended to be used as an add-on code with other nuclear medicine procedures. The commonly performed flows with nuclear medicine procedures have their own specific CPT codes such as the conventional three-phase bone scan, CPT 78315 Bone and/or joint imaging; three-phase and typically consists of flow, blood-pool and delayed imaging phases or CPT 78216 Liver-Spleen Imaging with vascular flow.” A flow study would be inherent in this procedure code.
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