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2022) Dexa Scan Cpt Codes Bone Density - Description, CPT code 78000, 78306 79999 , Nuclear Medicine. RoseK369. diagnostic procedures: codes 78306, 78320, 78802, 78803, 78806, and 78807. This study is often performed to rule out metastatic cancer. 0000001601 00000 n
So if the content contains any sensitive words, it is about the product itself, not the content we want to convey. First let me say any help would be tremendously appreciated What should the radiologist document to qualify report as whole body? AUDIENCES ONLY, Three-phase bone scan is not considered a whole-body scan. 78226 Hepatobiliary system imaging, including gallbladder when present Yes 78227 Hepatobiliary system The classical situations are: Spondylolysis Subscribe to. Gallium is taken up by many kinds of cancer cells in amounts that exceed normal uptake from normal tissue. 0000013504 00000 n
WebTUMOR SCAN WITH GALLIUM CPT CODE: 78800, UPDATED: MARCH 2011 78801, 78802, 78803 Data Acquisition: Whole Body Imaging: Whole body scans are acquired for a minimum of seven (7) minutes per view. 0000030567 00000 n
Skeletal scintigraphy is a sensitive marker of both osteoarthritis and rheumatoid arthritis. i4)=C&KaoI9*e}z`1F4
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vlc4lY= c44[,-dBx 60 terms. To plug inpatient facility revenue drains, subscribe to, Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Cancerous cells and tumors can also be located with this test. Simply CPT code 78315(three phase scan) include 78306 (whole body scan), hence would not be reported separately. %
14 Hospital Laboratory Services Provided to Non-patients Save time searching for promo codes that work by using bestcouponsaving.com. You are using an out of date browser. Request a Demo 14 Day Free Trial Buy Now CPT Code Range 78012- 79999 Section 78012 Can we bill 78315 with a SPECT scan? 0000134485 00000 n
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All persons depicted are models and not real healthcare professionals. View matching HCPCS Level II codes and their definitions. 0000017089 00000 n
The general guidance for this code is that it is used for bone and/or joint imaging, whole body . When billing for adenosine, HCPCS code J0150 (Injection, adenosine, 6 mg.) endobj
For example, it is expected that a limited bone scan be performed on patients with a stress fracture of the foot. Note: as indicated above, the triple-phase bone scan is normally utilized to evaluate, but not limited to: osteomyelitis; diagnose and evaluate musculoskeletal infections to rule out bone involvement; and to diagnose and evaluate reflex sympathetic dystrophy. We seem to be having difficulties with payment from Medicare on this CPT. 0000005420 00000 n
Thanks For documentation and coding N/M Whole Body, does the radiologist need to state viewed from sku Read a CPT Assistant article by subscribing to. 0000006854 00000 n
Can anyone assist with finding the proper code as I am unable to obtain preauthorization from the insurance as we have to supply the code. What is the CPT code for CT scan of brain? 23 Skilled Nursing Outpatient These substances are separately billed under codes A4641 and A4642 for diagnostic procedures, and code 79900 for therapeutic procedures and are paid on a By Report basis depending on the substance used. I have conflicting information and need guidance. 0000008225 00000 n
A bone scan is performed three to four hours later, which consists of a limited, multiple or a whole body bone scan. I need help with the nuclear medicine codes 78300 78305 78306. These costs are a guideline of what you may be charged for this particular CPT code, but of course your results may vary. This test is performed for the diagnosis of osteoporosis before broken bone appears. The TC RVUs for nuclear medicine procedures (Procedurecodes 78XXX for diagnostic In a click, check the DRG's IPPS allowable, length of stay, and more. 0000014583 00000 n
WebWebThe CPT Code 78306 is the code used for Radiology / nuclear medicine. Whole Body Scan with I-131 CPT Code 78018 IMG 349 Prep: Interfering medications may exist, please discuss with referring physician and call Nuclear Medicine for further clarification. For FREE Trial. View matching HCPCS Level II codes and their definitions. Is a 3-phase bone scan, CPT 78315, considered a whole-body scan? Therefore, it is expected that this technique is utilized to evaluate these conditions. The general guidance for this code is that it is used for bone and/or joint imaging, whole body. Get Offer Offer Cpt Code: 78306 - Bone And/or Joint Imaging, Whole Body The general guidance for this code is that it is used for bone and/or joint imaging, whole body. Search across Medicare Manuals, Transmittals, and more. Within the next several years providers will be required to observe appropriate use criteria AUC as a condition of payment when reporting certain services for Medicare beneficiaries. Bone scan (CPT 78300-78315, 78399, 78803) 15. CPT Quiz #8 Radiology. WebNm Bone Scan Whole Body Cpt Code - Socatam. Which is correct? Regarding assignment of CPT code 78315 with a SPECT or SPECT/CT scan CPT code, no you cant submit both. The general guidance for this code is that it is used for bone and/or joint imaging, whole body. Is there any specific post procedural care required following a bone scan? WebCPT. The CPT code for dexa scans is 77080. As indicated this test checks the density levels of bones. The greater the density of the tissue or bones, the harder it is for X-rays to pass through. endobj
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SNM comment: The answer is both no and yes. Whole body 78306 3 Phase study 78315 Cardiovascular Non cardiac vascular flow 78445 DVT imaging, Peptide (AcuTect) 78456 Myocardial perfusion study, Question: How is a three-phase, whole-body bone study reported? MULTIPLE NUCLEAR MEDICINE DIAGNOSTIC PROCEDURES. 0000092942 00000 n
and then followed by contrast material. Application of Multiple Procedure Policy (Procedure codeModifier -51). 0000004361 00000 n
When cells and tissues are changing, they absorb more of the tracer. 0000052273 00000 n
The limited study is considered part of the whole body study. Bone Scan Whole Body Bone Scan Limited Specify: Body Part Bone Spect A9503 78315 Bone Scan 3 Phase Get Offer. Search across Medicare Manuals, Transmittals, and more. (Rev. Interventional Radiology Procedure code list, COLONOSCOPY BILLING CODES CPT 45380 , 45385, Employer Group waiver plan overview and FAQ, CPT code 47562, 47563, 47564 Laparoscopy, surgical; cholecystectomy, CREDENTIALING PROCESS Detailed overview TAT for top payers. View the CPT code's corresponding procedural code and DRG. A bone scan is a diagnostic test that is performed to diagnose different bone diseases like bone injury, unexplained bone pain, and bone injection. SNM says that when a whole body scan is performed as part of a 3 phase study code either 78306 OR 78315. 12 Hospital Inpatient (Medicare Part B only) WebDivision of Nuclear Medicine Procedure / Protocol University Hospital and The American Center _____ Bone Scan SPECT CPT CODE: 78320 UPDATED: March 2017 Indications: This examination is done to SPECT particularly sites where planar imaging might be normal but the patient has a lesion. 22 Skilled Nursing Inpatient (Medicare Part B only) 0000009506 00000 n
For clinical responsibility, terminology, tips and additional info start codify free trial. 0000026681 00000 n
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A9552 F-18 FDG up to 45 MCI. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of the skeleton and/or to diagnose bone disease. J`=cCMPTa=|2O D'R*?:t% ./%*Z /V1}+wSQ];aDzE42m}OR&cX*HAii#ia2G(*Up8T" Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. WebCpt Code: 78306 - Bone And/or Joint Imaging, Whole Body. Required fields are marked *. The site tracks coupons codes from online stores and update throughout the day by its staff. Carriers must apply the multiple procedure reduction to th Hello Everyone 0000004997 00000 n
The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine multiple areas of the skeleton and/or to diagnose bone disease. 2. 0000045478 00000 n
2022) Dexa Scan Cpt Codes Bone Density - Description, How to find promo codes that work? Diagnostic Nuclear Medicine Procedures on the Musculoskeletal System, Copyright 2023. (See 70.4 for brachytherapy procedures). It is expected that a whole body scan (procedure code 78306) is performed only when an evaluation of the entire skeletal system is necessary, such as the evaluation for metastatic disease, or for the evaluation of localized pain of unknown etiology. WebWHOLE BODY BONE SCAN. 0000009310 00000 n
Advanced CPT Chapter 5 Radiology. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. We collect results from multiple sources and sorted by user interest. 0000129074 00000 n
Stressing Agent 72197. It may not display this or other websites correctly. If this is your first visit, be sure to check out the. Casey Carter, CPC [b]whole body bone scan - nuclear medicine[/b] What are coupon codes? TECHNIQUE: Following intravenous adminis Are you referring to these codes? 185 0 obj
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The CPT code used for bone density DEXA scan is 77080. The radiological exam included two views of the mandible. 2 0 obj
The code is typically used to describe imaging to evaluate for osteomyelitis or another type of localized process, so the whole-body planar imaging is not usually The static bone scan phase can be limited, multiple areas, or whole body. The code is typically used to describe imaging to evaluate for osteomyelitis or another type of localized process, so the whole-body planar imaging is not usually medically necessary. 0000052909 00000 n
For example, I have been told that to code whole-body PET (or PET/CT) the documentation must show imaging from the top of skull (1) to the toes; 2) to at least the lower leg (below the knees). This means that the procedure uses a very small amount of a radioactive substance, called a tracer. WebThe CPT Code 78306 is the code used for Radiology / nuclear medicine. [B][U]50.3 - Application of Multiple Procedure Policy (CPT Modifier -51)[/U][/B] You can choose to bill submit CPT code 78315 or the appropriate SPECT scan CPT code, but not both. WebWHAT IS A NUCLEAR MEDICINE GALLIUM SCAN? First let me say any help would be tremendously appreciated Carriers must make separate payment under code J1245 for pharmacologic stressing In addition,Procedurecode 79900 is separately payable in connection with certain clinical brachytherapy procedures. WebDocumentation for Whole-Body Nuclear Medicine CPT Codes. If we performed the bone imaging, whole body (78306) with the isotope (A9503), how would i put in the diagnosis codes?? Imaging Device: Gamma camera with LEHR collimator. WebIn a typical bone scan technique, the patient is injected (usually into a vein in the arm or hand, occasionally the foot) with up to 740 MBq of technetium-99m-MDP and then scanned with a gamma camera, which captures planar anterior and posterior or single photon emission computed tomography (SPECT) images. For FREE Trial. Get Offer Offer Cpt Code: 78306 - Bone And/or Joint Imaging, Whole Body The general guidance for this code is that it is used No, CPT code 78315 is not considered a whole-body scan, even if your protocol is to do the whole-body planar imaging. The general guidance for this code is that it is used for bone and/or joint imaging, whole body. If you're interested to see what doctor's in your area are charging for this particular CPT code enter your zipcode in the box below and a list of doctor's known to perform this service charge will appear. A three-phase study includes initial vascular flow followed by blood pool imaging and followed by delayed statis bone scans. WebWebReport this code for a full-body bone scan. You must log in or register to reply here. JavaScript is disabled. <>>>
Prep: Interfering medications may exist, please discuss with referring physician and call Nuclear Medicine for further clarification. The correct code assignment is 70100. true A single-view, frontal x-ray of the chest was taken and the radiologist provided only the supervision and interpretation for the procedure. Time in Department: 2 day test Post-operative evaluation of patients with thyroid carcinoma to determine if there are local or distant sites of tumor. If adult patient weights > 127 kg, consult with NM physician. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Separate drug pricing methodology payments for IV Persantine is made in addition to payments made for the procedure. WebCommon Procedure Codes (CPT) For Imaging Procedures CT MRI (cont.) What should the radiologist document to qualify report as whole body? Below you will find cost information associated with this procedure based upon the a set of publicly available data which details all doctors who billed Medicare for this code, Receive Free Shipping on Your Order with the use of a Coupon Code, Enjoy free standard shipping with your Cloud Climax order, Visit Cloud Climax online store and get the Latest Deals and offers, Cloud Climax first time customers get Additional sales and deals in 2023, Lowest price + P&P for Selected Kenosha News products from $ 4.95 at eBay, Kenosha News products at eBay from $ 7.99, Up to 13% off all Kenosha News Products discounted at eBay, Extra sale and special offers for ATS membership, The exclusive ATS Promo Codes and discount for your orders, First time users Promo Codes and offers of ATS. 0000052007 00000 n
Separate based payment for adenosine will be made in addition to payments made for the procedure for SNF Part B patients. CPT Code 78018. WebDocumentation for Whole-Body Nuclear Medicine CPT Codes Question: Can you tell me the definition for documentation purposes (body areas included) for whole-body SNFs bill HCPCS code J1245 (injection, dipyridamole, per 10 mg.) with revenue code 0636. . For a Three Phase Bone scan (see protocol in skeletal section) Below you will find cost information associated with this procedure based upon the a set of publicly available data which details all doctors who billed Medicare for this code. Bone Density Study CPT Code Bone density study is the study of measuring the strength of bones with 78300 Bone and/or joint imaging; limited H]k0+OK`G26ZQcg=emIKK{k. The individuals who appear are for illustrative purposes. Obtain whole body image. For a better experience, please enable JavaScript in your browser before proceeding. should be reported with revenue code 0636. Mainly hip, spine and other bones are tested. Question:Can you tell me the definition for documentation purposes (body areas included) for whole-body imaging for Bone Scan and other nuclear medicine whole-body imaging. The general guidance for this code is that it is used for bone and/or joint imaging, whole body.Below you will find cost information associated with this procedure based upon the a set of publicly available data which Webof age and weight if < 45 kg. I have conflicting information and need guidance. 1, 10-01-03) 0000089738 00000 n
Bone Scan Whole Body Bone Scan Limited Specify: Body Part Bone Spect A9503 78315 Bone Scan 3 Phase Get Offer. It can be useful in detecting new infection or a cancerous tumor. In vitro-whole blood is withdrawn from the patient and transferred to a sterile UltraTag bag or vial. 0000053324 00000 n
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A triple-phase body scan is medically necessary for the assessment of the skeletal system to differentiate a skeletal infection versus a soft tissue infection. WebNm Bone Scan Whole Body Cpt Code - Socatam. I need to order a whole body scan via ultrasound for a patient who has prostrate cancer in order to see if it has spread. 2 MjQ]P4srbvMF@i(,l,Ge9-TX#;Ub=8i-Msh_L8WY>bDs\`pF .eDM */cFPFE1{q'}K;*LlebV-Jr7QfigO}.>o$MkTa&6ZKyjB-XkiYj1~T*M"lEkH4pZ3>pd m
EmJ+fb~v2zXcaY1YJ~d#a!Wa8}e-;F?Mo^g"[lH^~_5Fji,g/MzEVVaC R,gL\&XXAwZ+y2~ol YFcVQVTdJuT#1Or]%^L=x- #i_R61te0hHGC,08KEJDWej%b~7I_Y-M> We do some limited imaging, then whole-body planar imaging. To plug inpatient facility revenue drains, subscribe to, Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! The individuals who appear on this website are for illustrative purposes only. Perform a standard 6-view liver/spleen scan at 30 minutes post-injection. Web Images are obtained at 18-24 hours for whole body, extremity and SPECT/CT imaging; allow 4 hours for imaging time. WebOct 23, 2021 checkout the coding rules for nuclear medicine bone scan CPT code 78300, 78305, 78306, 78315 and 78320 in radiology and whole body Wbc Tagged Scan Cpt Start: WebDec 01, Webconclusions the difference between bone scan and pet/ct for detection of bone metastases may be attributable to the different mechanism.bone scan depends on the osteoblastic response to bone destruction by tumor cells,and fdg-pet/ct detects the metabolic activity of the tumor cells.therefore fdg pet/ct and bone scan are complementary modalities The drug adenosine is paid based on the drug payment methodology when used as a pharmacologic stressor for other diagnostic testing. The liver or spleen should be shielded with lead to prevent scatter. B. 0000136475 00000 n
] sAvLl@q$OLB* WebNuclear Medicine Respiratory 78580 Perfusion Lung Scan 78582 Ventilation/Perfusion Lung Scan 78597 Pulmonary Quantitative Function Nuclear Medicine Musculoskeletal Best Coupon Saving is an online community that helps shoppers save money and make educated purchases. The CPT codes are 77078, 77081, G0130 and 76977. Which do you need info on, the pet scans 85 Critical Access Hospital. Are you looking for "Free Now Nm Bone Scan Whole Body Cpt Code"? They are based on the commonly used codes in Nuclear Medicine, which are not all inclusive. Determine the distribution of osteoblastic activity prior to therapy with strontium-89. 0000014001 00000 n
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Procedureguidance is clear in theProcedure codeparenthetical following the PET tumor codes: report 78811-78816 only once per imaging session. 0000187594 00000 n
IMG 349. 0000003875 00000 n
If you have any coupon, please share it for everyone to use, Copyright 2023 bestcouponsaving.com - All rights reserved, Free Now Now Foods Supplements Promo Codes. Students also viewed. This three-phase with a whole body combination should be rate, as there are few clinical situations in which this comibination would be considered medically necessary. 0000129113 00000 n
See Radiation Risk of Medical Imaging for Adults and Children. registered for member area and forum access. trailer
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WebThe correct code assignment is 76700. 0000092981 00000 n
A whole body bone scan is performed via nuclear medicine imaging (not ultrasound). The tracer is absorbed in different amounts and those areas are highlighted on the scan. procedures furnished to beneficiaries in settings in which TCs are payable. conjunction with nuclear medicine and cardiovascular stress testing procedures furnished to SNF outpatients. 0000008692 00000 n
Tc 99m Pertechnetate is added to the bag or vial and incubated at Answer: A three-phase, whole-body bone study is reported with CPT 78315, Bone and/or joint imaging; 3 phase study. Subscribe to. shelby_archer7. endobj
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It is a nuclear imaging test prescribed if certain bone conditions do not appear on a standard x-ray report. 0000017878 00000 n
NO : As an example, it would not be appropriate to code and bill for both a limited bone scan (Procedure code78300) and a whole body study (Procedure code78306). I've had some of these same issues in the past. View any code changes for 2023 as well as historical information on code creation and revision. No, CPT code 78315is not considered a whole-body scan, even if your protocol is to do the whole-body planar imaging. %PDF-1.5
WebCPT Code Guidelines PET/CT 78815 PET Scan w/fusion, skull base to thigh A9552 F-18 FDG up to 45 MCI 78816 PET Scan w/fusion, whole body A9552 F-18 FDG up to 45 MCI 78608 PET Scan brain A9552 F-18 FDG up to 45 MCI 78816 PET Scan whole body A9552 F-18 FDG up to 45 MCI 78814 PET Scan w/fusion (limited area) A9552 F-18 FDG up to 0000007347 00000 n
You should check all promotions of interest at the store's website before making a purchase. Even if the brain is included in an extended skull base to mid thigh study, the code for brain imaging should not be used in addition toProcedure code78812 or 78815. Copyright 2022 Bracco Diagnostics Inc. US-CG-2100022 10/21. False Feedback: The correct code is 76705. All content on the website is about coupons only. The tracer is injected into a vein. Always check with your local insurance carriers as policies vary by region. View any code changes for 2023 as well as historical information on code creation and revision. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Is DEXA scan the only measure of bone health? It seems that the DXA scan is the measure we look to in order to confirm bone health or bone weakness. I wonder if there are other factors? I had my most recent scan a year ago, and the numbers weren't too bad. Mild Osteopenia. According to the report I had a 0.3% 10 year chance of a hip fracture. WebCPT Code 78305, Diagnostic Nuclear Medicine Procedures, Diagnostic Nuclear Medicine Procedures on the Musculoskeletal System - Codify by AAPC You said a pet scan whole body but you are talking about cpts 78300, 78305 & 78306 which are nuclear medicine bone and/or joint imaging. A limited or muliple area body scan is medically necessary when the patients signs, symptoms, or condition is limited to a certain body area. Answer:Please Login as a SNMMI Member to access the answers to the Coding and Reimbursement Q&As. x)nCdn Ipw3
zZw3$ The Current Procedural Terminology (CPT ) code 78305 as maintained by For clinical responsibility, terminology, tips and additional info start codify free trial. in the part a setting, when billing for pet scans performed to inform the initial treatment strategy or subsequent treatment strategy for bone metastasis, the diagnosis of bone metastasis- c79.51 (secondary malignant neoplasm of bone) or c79.52 (secondary malignant neoplasm of bone marrow) should be indicated on the claim as per the cms 22 terms. Get Offer For example, I have been told that to code whole-body PET (or PET/CT) the documentation must show imaging from the top of skull (1) to the 0000052623 00000 n
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uhDk3Ey|Ok:d;LPf['ld%pTeSa.{za#CGb5U {THe@rGvS2K^Wq>EnO0[$Ab9X Do a CPT code search on the American Medical Association website. Contact your doctor's office and ask them to help you match CPT codes and services.Contact your payer's billing personnel and ask them to help you.Remember that some codes may be bundled but can be looked up in the same way. 0000045202 00000 n
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Imaging Procedure: 1. 78104 Bone Marrow, nuclear medicine, imaging. Numerous attempts have been made over the last two decades to develop scintigraphic techniques for staging the severity of arthritis and assessing response to therapy. The code is typically used to describe imaging to evaluate for osteomyelitis or another type of localized process, so the whole-body planar imaging is not usually medically necessary. Bone density screening is a diagnostic test for checking the density/ amount of bones. For documentation and coding N/M Whole Body, does the radiologist need to state viewed from sku Read a CPT Assistant article by subscribing to. Bill Type Codes How can I find the best coupons? 0000006429 00000 n
The final decision for the coding of a procedure must be made by the physician considering regulations of insurance carriers and any local, state or federal laws that apply to the physicians practice. Procedure code and Descriptions. WebWhole body bone marrow scan (nuclear medicine). 13 Hospital Outpatient A9561-Technetium tc-99m Oxidronate, diagnostic, per study dose, up to 30 millicuries the correct code to use is A9560. 0000009196 00000 n
In general, when the AMA RUC (RUC stands for Relative Update Committee) valuesProcedurecodes, it does so on the basis of a typical study (including additional views). The opinions referenced are those of the members of the SNMMI Coding and Reimbursement Committee and their consultants based on their coding experience. Report this code for a fullbody bone scan. A nuclear bone scan is a medical test that uses a small amount of radioactive material to check the condition of your bones. Its also known as skeletal scintigraphy. You probably think of radioactivity as something to avoid. But in a medical setting, radioactive material can tell you important things about your body. %PDF-1.4
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Nuclear Medicine Head with contrast- 70460 Thoracic spine with and without contrast- 72157 Thanks in advance You said a pet scan whole body but you are talking about cpts 78300, 78305 & 78306 which are nuclear medicine bone and/or joint imaging. 0000001336 00000 n
I agree a bone scan is a nuc med test and you use the bone ca code as the dx. Therefore, it is not appropriate to report a planar, limited (CPT 78300); multiple areas (CPT 78305); or whole-body (CPT 78306) bone scan or a non-cardiac vascular flow study (CPT 78445) in conjunction with a three-phase bone study, as they are all considered to be part of the three-phase bone study. Coupon codes usually consist of numbers and letters that an online shopper can use when checking out on an e-commerce site to get a discount on their purchase. These have been largely unsuccessful, and skeletal scintigraphy, although not common, may be used to evaluate arthritis in current clinical practice.