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Need cpt codes.

  1. #1
    Default Need cpt codes.
    Medical Coding Books
    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

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

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