Photon Emission Computed Tomography (SPECT)

Our facility is performing single photon emission computed tomography (SPECT) and planar imaging of the parathyroid. According to National Correct Coding Initiative (NCCI) policy, the SPECT studies “represent an enhanced methodology” more than the standard planar technique used. Also, when a limited anatomic area is studied, no additional information is obtained by performing both studies. Although there is no bundling edit for 78070 , Parathyroid imaging, and 78803 , Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); tomographic (SPECT), NCCI policy states the SPECT study is not separately reported with the planar study of the same area. However, we have received other advice that both studies can be reported together with the appropriate modifier appended. Our question is if our facility performs both planar and SPECT studies can CPT codes 78070 and 78803 be reported with an appropriate modifier? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a facility question about reporting single photon emission computed tomography (SPECT) alongside planar imaging for parathyroid workups. It reviews the general policy context from NCCI and the difference between bundled-edit logic and separate reporting advice, making it relevant to coders, imaging departments, and compliance teams working with nuclear medicine claims.

Why This Topic Matters

Imaging claims can be affected by how related studies are reported together, so understanding the policy context helps support consistent charge capture and compliance review. The article is most useful for teams that handle nuclear medicine billing, edit review, and documentation validation.

What You Will Learn

  • How the article frames reporting issues for SPECT and planar imaging
  • What policy context is discussed for nuclear medicine imaging claims
  • Why facility-level coding questions may arise when multiple studies are performed in the same area
  • How NCCI-related guidance is presented in relation to parathyroid imaging

Who Should Read This

  • Medical coders
  • Coding auditors
  • Nuclear medicine staff
  • Revenue cycle staff
  • Compliance personnel

Codes Discussed

Modifiers Discussed


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