Practice Management

Coding Corner

Parathyroid Scan
Revised: June 22, 2009
Question
We are using the CPT 78070 for our parathyroid imaging. Multiple scans are obtained after the injection at different times. Can the CPT 78070 be used repeatedly within a 24 hr period? (Professional comp)
 
Answer
In your question you mention billing twice for the professional component. First, we recommend appending the modifier 26 (Professional Component) to identify the professional component for this procedure; this is standard for all nuclear medicine CPT procedures. Second, it is not appropriate to bill repeatedly (two or more units), as multiple imaging is common and inherent in the resources required for CPT 78070-26.

Disclaimer
The opinions referenced are those of the members of the SNM Coding and Reimbursement Committee and their consultants based on their coding experience. They are based on the commonly used codes in Nuclear Medicine, which are not all inclusive. Always check with your local insurance carriers as policies vary by region. The final decision for the coding of a procedure must be made by the physician considering regulations of insurance carriers and any local, state or federal laws that apply to the physicians practice. The SNM and its representatives disclaim any liability arising from the use of these opinions.