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CPT 78140: Liver and Spleen Scan with Radiolabeled Autologous Red Blood Cells
CPT code 78140 represents a diagnostic nuclear medicine procedure in which a patient’s own red blood cells are tagged with a radiopharmaceutical and used to image the liver and spleen. Nationally relevant for hospitals and imaging centers, this study aids in identifying ectopic splenic tissue, vascular lesions, and focal hepatic or splenic abnormalities that impact diagnosis and care planning. The code is used across hospital outpatient departments and dedicated nuclear medicine clinics where radiolabeled autologous erythrocyte imaging is available.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the clinical context for the scan, typical sites of service, and standard billing considerations tied to CPT code 78140. The publication outlines national-level benchmarks and utilization patterns where available, summarizes payer coverage trends and prior authorization considerations, and highlights coding and documentation points important for accurate claims submission. Data not available in the input is noted where necessary. This summary is intended for billing managers, hospital administrators, and clinicians involved in diagnostic nuclear medicine coding and revenue cycle oversight.
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Billing Code Overview
CPT code 78140 describes a nuclear medicine study of the liver and spleen performed after intravenous injection of the patient’s own red blood cells labeled with a radiopharmaceutical. The procedure evaluates splenic and hepatic function and distribution of labeled erythrocytes to detect ectopic splenic tissue, hemangiomas, infarcts, or focal lesions.
Service type: Diagnostic nuclear medicine procedure using autologous labeled red blood cells
Typical site of service: Hospital outpatient imaging department or outpatient nuclear medicine clinic