AAPC - Back to school
Results 1 to 3 of 3

Thread: nuclear stress test

  1. #1

    Default nuclear stress test

    AAPC: Back to School
    Our biller has been billing 78478 x2 & 78480 x 2 for the adenosine injection. We have been getting paid once for each code. The reason for the denial is one servie per day. Since the test is done resting and stress and the adenosine is done twice is there a better way of billing, so we don't get denied?
    Denyse Davis - CPC

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    My concern is that neither of these codes represents the Adenosine and neither represents injection.

    These add on codes describe specific, additional evaluation (78478, Wall Motion Study & 78480 ejection fraction) beyond the perfusion scan itself (housed elsewhere in the code section). Adenosine should be represented in HCPCs and the injections are inherent to the performance of the service/scan/study.

    I hope this answers your question.

    Good luck.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007


    78478 and 78480 should be coded once. Try J0152 for the adenosine. This code is for 30 mg so you will probably have to use 2-3 units depending on how much is used.

Similar Threads

  1. Nuclear stress test help
    By player14 in forum Cardiology
    Replies: 3
    Last Post: 08-14-2015, 01:25 PM
  2. Nuclear Stress Test
    By TanyaMX in forum Cardiology
    Replies: 2
    Last Post: 08-31-2012, 07:32 AM
  3. Nuclear Stress Test-Help
    By peeya in forum Cardiology
    Replies: 10
    Last Post: 12-09-2010, 02:39 PM
  4. Nuclear Stress Test, etc.
    By Cpeterson2010 in forum Family Practice
    Replies: 0
    Last Post: 07-15-2010, 12:12 PM
  5. Nuclear Stress Test
    By loughary in forum Cardiology
    Replies: 1
    Last Post: 04-22-2010, 07:10 AM

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.