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What Is Included vs NOT Included in CPT Code 78452 Included services: Stress and rest SPECT image acquisition Image processing and reconstruction Blood flow assessment Physician interpretation and report Heartlung ratio calculation when part of MPI Not separately reportable: 78580 when performed only as part of MPI IV access solely for tracer injection Routine monitoring is inherent to the procedure Global vs Split Billing Global billing applies when one entity performs all components Split billing applies when facilities bill technical services and physicians bill interpretation using -26 and -TC

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