Radiology Question for the Week of May 8, 2017

Question:

What is the correct way to bill for a three-phase bone scan and a SPECT scan 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:

According to the Society for Nuclear Medicine and Molecular Imaging (SNMMI), you should bill either one of the following codes, but not both.

78315 Bone and/or joint imaging; 3 phase study
78320 Bone and/or joint imaging; tomographic (SPECT)

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.