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Thread: Nuclear 78480 and 78478

  1. #1
    Join Date
    Apr 2007

    Default Nuclear 78480 and 78478

    AAPC: Back to School
    Help my fellow cardiology coders! Our practice is taking multiple images and now are looking at the wall motion and ejection fraction at rest and at stress. My nuc tech just told me that some of the registry personnel had asked him if we bill the wall study and ejection fraction two times, because they have done it on the other practices that they go to. The code itself does not state that it is for multiple study. Has anyone bill these two add on codes with the quantity of 2 or bill the codes 2x and gotten paid? Or is there any other codes that I can use to bill, 1 for rest and 1 for stress? Or we can even do it, at all???
    Help!!! Help!! Thanks!

  2. #2
    Join Date
    Apr 2007
    Salem Oregon

    Default 78478 & 78480

    We only bill once on these codes. I would be interested in knowing if other clinics bill more units.

  3. #3



    You can bill 78480 & 78478 only once per study; includes multiple views.

    Dolores, CPC, CCC

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