Results 1 to 2 of 2

Myocardial perfusion study

  1. Default Myocardial perfusion study
    New Call-to-action
    Clarification needed. Pt undergoes the above but subsequent to first scan MD determines resting images are not required, should code 78452 or 78451 be used? There is some problem occurring in our office regarding authorization for these codes with 78452 being authorized and approved and then MD does not obtain resting images (initial images normal). Denial is received if we code 78451 as it was not auth. Better to code 78452 with modifier for reduced services and let carrier pay accordingly?

  2. #2
    Medical Billing
    We do these at our sites and the code 78451 is for a single study, be it rest or stress. It would not be appropriate to bill the 78452 with a 52 because there is a code that already describes what is being done. Try and have the auth changed to reflect the correct study that was performed.

Similar Threads

  1. Myocardial viability study
    By Four Corners in forum Cardiology
    Replies: 1
    Last Post: 06-04-2013, 04:34 PM
  2. Myocardial Viability Study
    By peeya in forum Cardiology
    Replies: 0
    Last Post: 07-12-2010, 11:29 AM
  3. Myocardial Perfusion Study-SPECT 78452
    By jaud63 in forum Cardiology
    Replies: 0
    Last Post: 06-28-2010, 01:14 PM
  4. 2 day Myocardial perfusion testing
    By dwilcox in forum Cardiology
    Replies: 2
    Last Post: 02-24-2009, 04:03 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.