Awareness : Newsletter Articles

Myocardial Perfusion Imaging

When a Myocardial Perfusion Imaging (MPI) is performed, the current procedural terminology (CPT) code that should be used is 78452.

The documentation requirements include (not limited to):

  • Ordering/referring physician must indicate medical necessity for performing study, including
  • History and physical
  • Office/progress notes, and
  • Test results
  • Physician must state clinical indication/medical necessity for study in test order
  • Service provider must maintain
    • Hard copy test results and interpretation
    • Copies of ordering/referring physician’s signed order
    • All segments of service must have formal signed interpretation and report

    For additional guidance, please refer to the Local Coverage Determination L36209