AAPC - Back to school
Results 1 to 4 of 4

Thread: How would you code for use of SPY to test for tissue perfusion?

  1. #1
    Join Date
    Apr 2007

    Default How would you code for use of SPY to test for tissue perfusion?

    AAPC: Back to School
    Hello. What codes would you use to code for the use of SPY, the series of injections to administer the flourescent agent, and the imaging and interpretation of images taken during the procedure?

    I have seen CPT codes 15860 (intravenous injection of agent (e.g. fluroscein) to test vascular flow in flap or graft) and 76499 (for radigraphic procedure) reported. Is this correct? Also, would you increase the units for CPT 15860 if there is more than one injection?

    My surgeons are using SPY to test tissue perfusion duing microsurgery, reconstructive surgery and plastic surgery however I am unsure as to how to capture all that is being done.

    Thank you

  2. #2


    Our pratice also performs SPYs during reconstructive procedures. We bill 15860, which can only be billed once per operative session. In following reimbursement trends, how have payers responded to the unlisted radiographic code?
    Last edited by plasticscoder; 01-24-2012 at 01:49 PM.

  3. #3
    Join Date
    Apr 2007


    Hello. Forgive my delay in getting back to you. I hadn't received a notification that there was a response.

    I wanted to ask if you attempted to use the -76 modifier or not? Also, we are seeing that payors are inconsistent in accepting the unlisted proc codes. Some are, some are not, some are recommending other codes, etc.

    Thank you again for your response.

  4. #4


    I have a surgeon who's using SPY to inject into the colon to test vascular flow. Is anyone else doing this? Would 15860 still be the correct code? Help!

Similar Threads

  1. SPY Elite- Vascular flow test
    By EricaR in forum General Surgery
    Replies: 0
    Last Post: 06-24-2015, 06:23 AM
  2. Code for Random Dot E test or RDE test
    By jweigel in forum Pediatrics
    Replies: 0
    Last Post: 07-01-2013, 09:24 AM
  3. How would you code for use of SPY to test for perfusion?
    By sevolution in forum Outpatient Facilities
    Replies: 0
    Last Post: 01-06-2012, 02:33 PM
  4. Replies: 0
    Last Post: 01-06-2012, 02:32 PM
  5. How would you code for SPY to test for tissue perfusion???
    By sevolution in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-06-2012, 02:29 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.