Question:

What is the correct way to bill for a three-phase bone scan and a SPECT scan performed on the same day? My research indicates that if the three-phase scan is bundled into the SPECT scan, it can be billed with a modifier. Is this correct?

Answer:

According to the Society for Nuclear Medicine and Molecular Imaging (SNMMI), you should bill either one of the following codes, but not both.

78315 Bone and/or joint imaging; 3 phase study
78320 Bone and/or joint imaging; tomographic (SPECT)

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