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Have a Question?

Coding for pulmonary ventilation and perfusion imaging


Our pulmonary ventilation and perfusion imaging is done by SPECT/CT. If we submit CPT® code 78582 along with the CPT code 78830 will we be “double dipping”? 


Yes. SPECT and SPECT/CT codes include limited planar imaging, so you can’t report a limited planar exam, such as a ventilation and perfusion scan, with a SPECT/CT. You can only charge for both planar and SPECT or SPECT/CT if the planar imaging is whole-body exam. Currently there are CCI edits that keep even that from happening in some cases.