Medicare Reimbursement for Nuclear Cardiology
2010 DELETED CPT® codes1:
Deleted 78465 SPECT multiple myocardial perfusion imaging
Deleted 78478 myocardial perfusion wall motion
Deleted 78480 myocardial perfusion ejection fraction calculation
For 2010 SPECT 78465 myocardial perfusion imaging with wall motion (78478) and
ejection fraction (78480) are bundled into one new CPT® code – 78452.
784522- Myocardial perfusion imaging, tomographic (SPECT) (including attenuation
correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated
technique, additional quantification, when performed); multiple studies at rest and / or
stress (exercise or pharmacologic) and / or redistribution and / or rest reinjection.
Medicare Hospital Outpatients Payments Payment
2009 78465 - 78478 and 78480 bundled with 78465 $774.133
2010 78452 - includes SPECT, wall motion, ejection fraction $775.094
2009 78492 PET myocardial perfusion imaging $1156.873
2010 78492 PET myocardial perfusion imaging $1432.871
93017 Cardiovascular stress test 2010 Payment $176.175
Medicare Physician Office Setting
2009 78465 + 78478 +78480
2010 78452 - includes SPECT, wall motion, ejection fraction
2009 78492 PET myocardial perfusion imaging Carrier Priced
2010 78492 PET myocardial perfusion imaging Carrier Priced