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CPT 78472: Gated Cardiac Blood Pool Imaging with Wall Motion and Ejection Fraction
CPT code 78472 denotes gated equilibrium cardiac blood pool imaging with a wall motion study and ejection fraction measurement, performed at rest or with exercise or pharmacologic stress. This nuclear cardiology procedure quantifies ventricular function and assesses regional wall motion, making it important for heart failure evaluation, preoperative assessment, and monitoring response to therapy. Nationally, the code captures a commonly used noninvasive method to evaluate cardiac pump function with implications for clinical decision-making and utilization management.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the service type embodied by the code. The publication also summarizes payer coverage patterns, common billing modifiers, and related service-line implications where available. Where specific input data are missing, the publication notes that such information was not provided.
This summary provides clinicians, coding professionals, and policy analysts with an at-a-glance understanding of the procedure represented by CPT code 78472, its role in evaluating cardiac function, and the areas of billing and policy attention relevant to national stakeholders.
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Billing Code Overview
CPT code 78472 describes a gated equilibrium cardiac blood pool imaging study that includes a wall motion study and ejection fraction measurement to evaluate how effectively the heart pumps blood. The procedure can be performed with the patient at rest or during exercise or pharmacologic stress, providing functional assessment of ventricular performance.
Service Type: Nuclear cardiac imaging / cardiac blood pool (MUGA) study with gated imaging and wall motion analysis
Typical Site of Service: Hospital outpatient imaging center, outpatient radiology or nuclear medicine department, or freestanding imaging center
Data not available in the input.