Ask Dr. Z

Based on the following, would CPTs 78315 and 78832 both be reported?

Order- NM Bone Scan 3 phase w/SPECT CT

Tech Info- Pt injected w/ 24mCi. Blood flow imaging of pelvis performed. Blood pool imaging of pelvis and knees (4images) performed. Whole body anterior & posterior & 10 spot views of skeleton obtained 2hrs later. Subsequently, 2 SPECT-CT acquisitions, one of the pelvis and another of the knees.

Findings- Blood flow of pelvis shows subtle hyperemia regional to R hip prosthesis. Blood pool imaging shows periprostatic uptake outlining the entirety of the prosthetic, though the greatest laterally at the hip and lateral R knee. Delayed images of pelvis, there is increased tracer uptake R acetabulum... at the level of the knee there is tracer accumulation w/i the patella. SPECT-CT of the pelvis shows increased uptake R greater trochanter & L femoral head. SPECT-CT of knees shows increased tracer uptake R patella. Remaining whole body images show flare metaphysis at the L knee, compatible w/ marrow expansion in setting of SCD & splenic autoinfarction.