Please note this question was answered in 2021. The coding advice may or may not be outdated.
planar and spect on same date of service--NCCi edits
Date: Mar 19, 2021
Question:
I have a patient who came in for injection of NM on Day 1. Day 2 the patient came in for a whole body planar scan (78802). They noticed an area of interest, so they performed a SPECT on one area only (78803). I have read in your previous Q&As that these two codes can be reported together; however, when I enter them into my encoder, I receive an NCCI edit that states 78802 cannot be billed with 78803 even with a modifier. I realize these are two different scans, and I'm wondering why they cannot be billed together. Which one should I bill, 78802 or 78803?
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