US · guidance
CMS Pub. 100-03, ch. 1, § 220.12
Single Photon Emission Computed Tomograph (SPECT)
The single photon emission computed tomograph (SPECT) acquires information on the concentration of
radionuclides introduced into the patient’s body. It is useful in the diagnosis of several clinical conditions
including:
• Stress fracture
• Spondylosis
• Infection (e.g., discitis)
• Tumor (e.g., osteoid osteoma)
• Analyze blood flow to an organ, as in the case of myocardial viability
• Differentiate ischemic heart disease from dilated cardiomyopathy.
Frequency limitations: A/B MAC (A)’s or (B)’s discretion.
In the case of myocardial viability, FDG positron emission tomography (PET) may be used following a
SPECT that was found to be inconclusive. However, SPECT may not be used following an inconclusive
FDG PET performed to evaluate myocardial viability.
History
(Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
29d3aa0174038e8ec38478bf9b74937a270e9d1657db1dd3212e43fc906f0dad
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