Question:

What code do we report for a gastrointestinal bleed study when planar and SPECT images are performed to localize a small bleeding site?

Answer:

For a gastrointestinal bleed study when planar and SPECT/CT images are performed to localize a small bleeding site, see 78830 or 78832. This study would typically include imaging over the abdomen or abdomen and pelvis, therefore, possible correct code options would be 78830 or 78832.
Since the planar imaging code does not refer to a whole body exam, do not assign 78278 in addition to the SPECT/CT code.

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