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How to Code For A Cisternography CPT 78630

Therese Posted Wed 05th of October, 2016 16:07:14 PM
CPT code 78630 is for cerebrospinal fluid flow, imaging (not including)introduction of material); Cisternography. Is CPT code 78630 reported for each day of scan sessions or does 78630 encompass the 6hr, 24hr, and 48hr scan sessions described under the CPT Lay Description?
SuperCoder Answered Thu 06th of October, 2016 03:42:07 AM

Per the above documentation, CPT code 78630 can be billed once daily as the Medically Unlikely Edit (MUE) allowed is 1.

The images are taken at time intervals, such as 24 hours, 48 hours, and 72 hours post injection. So, it can be billed with appropriate modifiers, either as a comprehensive code or with modifer 26- Professional Component  and TC- Technical component accordingly on daily basis.

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