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Cardiology Coding Alert

Fine Tune Your 78452, 78454 Skills to Make the Most of Your MPI Claims

Published on Fri Feb 26, 2010

Spot the SPECT service, and bring in an extra $193. January 2010 brought a double whammy for myocardial perfusion imaging: new codes and slashed reimbursement. You can help your practice stay in the black by mastering accurate use of the new codes. Start here: Myocardial perfusion imaging (MPI) allows the cardiologist to view the distribution of blood (perfusion) to the myocardial tissue (the heart wall's middle muscular layer). Cardiologists often perform multiple studies (at rest and under stress) for comparison purposes. Below are the 2010 codes that describe multiple-study MPI: CPT 78452 -- Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection 78454 -- Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or [...]
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