Cardiology Coding Alert
Electron Beam Tomography
Delaware Subscriber
Answer: Codes 71250 (computerized axial tomography, thorax; without contrast material) and 71260 ( with contrast material[s]) are correct for chest scans. CPT does not include a code for EBT, however, which typically involves measurement of calcium scoring (often the first sign of atherosclerosis) using an extremely quick CT scan. Therefore, use an unlisted radiology-procedure code.
Since few carriers pay for EBT, the patient should be told in advance that this is a cash service. The patient should sign a waiver (although it is not absolutely necessary as usually there is no question that this service is not covered; the waiver lets the patient know in advance that he or she may not be covered), and payment should be received before the service is performed. If the carrier pays for the service, the refund can be sent to the patient.
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