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Thread: Need cpt codes.

  1. #1
    Join Date
    Apr 2007

    Default Need cpt codes.

    AAPC: Back to School
    CPt codes for

    Note states ordering of treadmill excercise testing with Cardiolite .

    Reports read.

    1) TReadmill excercise testing with Cardioltie
    2) Nm Myocardial Perf Multi Rest/Stress

    Are these included and what is the coding on these.

    Daniel, CPC

  2. #2



    Cardiolite stress test codes are:


    If it is the Physician's portion 93016, 93018

    Hope this helps.

    Arlene G., CPC

  3. #3
    Join Date
    Apr 2007
    Moore, OK



    The information indicates that the physician performed a myocardial perfusion study at rest and under stress. If the physician owns the equipment, global billing is 78465, 93015 and A9500. [This assumes a SPECT study as opposed to a planar study]. If the physician also performed a qualitative or quantitative wall motion study and/or ejection fraction, you can also report add-on codes 78478 and 78480. Rules for reporting A9500 [cardiolite] may vary depending on the payer. Usually, you will report units equal to 40 mCi [up to 40 mCi = 1 unit, > 40 mCi to 80 mCi = 2 units] at your invoice cost. If the physician induced stress pharmacologically, you can report a code for the substance used [usually Adenosine J0152 or Dobutamine J1250].

    If the physician does not own the equipment, billing is 78465-26, 93016 and 93018. Report add-on codes 78478-26 and 78480-26 as appropriate. The radiopharmaceuticals and/or drugs will be billed by the entity reporting the technical component.

    Hopefully, there is a report with more information than you have provided here. If not, I suggest your physican has some documentation issues.

    Terry Davis

  4. #4
    Join Date
    Apr 2007
    Bristol VA

    Question 93016 & 93018

    Can someone explain WHY you use these 2 codes together? Is it because the physician reads one part of the test but sends the nuclear part out to the cardiologist to be read?

  5. #5


    For the nuclear medicine part it is 78451-78454, depending on whats done.

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