CPT code 78215 represents a liver and spleen scan, a nuclear medicine imaging study used to evaluate the anatomy and function of the liver and spleen. This procedure is important nationally for diagnosing focal hepatic or splenic lesions, assessing organ size and functional uptake, and supporting management decisions in hepatology, oncology, and trauma care. Imaging of the liver and spleen with radiotracers can provide diagnostic information not available from conventional radiography or ultrasound.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and typical sites of service, a summary of payer coverage considerations, and benchmarking context where available. The publication also outlines common billing modifiers and coding context relevant to nuclear medicine imaging procedures.

This summary is written for a national audience and aims to help billing managers, radiology administrators, and policy analysts understand the clinical role and billing context of CPT code 78215. Data not available in the input is noted where applicable; the document focuses on code definition, service type, typical sites of service, and what stakeholders should expect in payer coverage discussions and coding workflows.