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Does ordering a nuclear myocardial perfusion imaging study (78452) automatically qualify a cardiovascular visit for a level 5 E/M. I do not believe it does. Does anyone have documentation to support whether it does or does not.
We still have to follow the E/M guidelines, fulfilling the HPI, Review of Systems, Physical Exam, MDM. Ordering MPI Nuclear Stress test alone without the rest of the components, does not warrant a Level 5.