diff --git a/Modules/IO/GDCM/test/Baseline/Lily.mha.cid b/Modules/IO/GDCM/test/Baseline/Lily.mha.cid
index 35cf0d3a7b5..ae5bf585841 100644
--- a/Modules/IO/GDCM/test/Baseline/Lily.mha.cid
+++ b/Modules/IO/GDCM/test/Baseline/Lily.mha.cid
@@ -1 +1 @@
-bafkreidhatfhe2gdne5k5pyw2rfvnuu3qmedytq7mrdjckmw6zrc5x3srq
+bafkreih4irpsshtdat5dvqmkdmgzguaol6qmz5mrskxtxmvjvrawuy32bq
diff --git a/Modules/IO/GDCM/test/Baseline/itkGDCMImageIOSecondaryCaptureSpacingTestBaseline.mha.cid b/Modules/IO/GDCM/test/Baseline/itkGDCMImageIOSecondaryCaptureSpacingTestBaseline.mha.cid
new file mode 100644
index 00000000000..d1959b85f88
--- /dev/null
+++ b/Modules/IO/GDCM/test/Baseline/itkGDCMImageIOSecondaryCaptureSpacingTestBaseline.mha.cid
@@ -0,0 +1 @@
+bafkreibzdrcgqyc3xtkxqh7rfpxf5oji35b2g5yujsaiwxltp3kwmxbixe
diff --git a/Modules/IO/GDCM/test/CMakeLists.txt b/Modules/IO/GDCM/test/CMakeLists.txt
index 6523d4de2a5..7e5411a53d5 100644
--- a/Modules/IO/GDCM/test/CMakeLists.txt
+++ b/Modules/IO/GDCM/test/CMakeLists.txt
@@ -86,6 +86,20 @@ itk_add_test(
   ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOTest4.mha
   ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOTest4Rescaled.dcm
   ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOTest4Rescaled.mha)
+itk_add_test(
+  NAME
+  itkGDCMImageIOSecondaryCaptureSpacingTest
+  COMMAND
+  ITKIOGDCMTestDriver
+  --compare
+  DATA{Baseline/itkGDCMImageIOSecondaryCaptureSpacingTestBaseline.mha}
+  ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOSecondaryCaptureSpacingTest.mha
+  itkGDCMImageIOTest
+  DATA{Input/image_slice0.dcm}
+  ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOSecondaryCaptureSpacingTest.dcm
+  ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOSecondaryCaptureSpacingTest.mha
+  ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOSecondaryCaptureSpacingTestRescaled.dcm
+  ${ITK_TEST_OUTPUT_DIR}/itkGDCMImageIOSecondaryCaptureSpacingTestRescaled.mha)
 itk_add_test(
   NAME
   itkGDCMImageIOTest5
diff --git a/Modules/IO/GDCM/test/Input/image_slice0.dcm.cid b/Modules/IO/GDCM/test/Input/image_slice0.dcm.cid
new file mode 100644
index 00000000000..740d5398047
--- /dev/null
+++ b/Modules/IO/GDCM/test/Input/image_slice0.dcm.cid
@@ -0,0 +1 @@
+bafkreigjtwunwnt7ilfegmhub73amtuyzdueyzj6ykftp7usibs57b2aya
diff --git a/Modules/ThirdParty/GDCM/src/gdcm/Source/MediaStorageAndFileFormat/gdcmImageHelper.cxx b/Modules/ThirdParty/GDCM/src/gdcm/Source/MediaStorageAndFileFormat/gdcmImageHelper.cxx
index 888412067f7..81878760b6d 100644
--- a/Modules/ThirdParty/GDCM/src/gdcm/Source/MediaStorageAndFileFormat/gdcmImageHelper.cxx
+++ b/Modules/ThirdParty/GDCM/src/gdcm/Source/MediaStorageAndFileFormat/gdcmImageHelper.cxx
@@ -1278,6 +1278,9 @@ Tag ImageHelper::GetSpacingTagFromMediaStorage(MediaStorage const &ms)
     if( ImageHelper::SecondaryCaptureImagePlaneModule ) {
       // Make SecondaryCaptureImagePlaneModule act as ForcePixelSpacing
       // This is different from Basic Pixel Spacing Calibration Macro Attributes
+      //
+      // Per the note: https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.8.html#sect_A.8.1.3
+      gdcmWarningMacro( "FIXME: Multiple tags can identify Secondary Capture spacing. This function should not be used for Secondary Capture data." );
       t = Tag(0x0028,0x0030);
     } else {
       t = Tag(0x0018,0x2010);
@@ -1471,7 +1474,25 @@ std::vector<double> ImageHelper::GetSpacingValue(File const & f)
       }
     }
 
-  Tag spacingtag = GetSpacingTagFromMediaStorage(ms);
+  Tag spacingtag = Tag(0xffff,0xffff);
+  if( ms == MediaStorage::SecondaryCaptureImageStorage && SecondaryCaptureImagePlaneModule )
+    {
+    // See the note: https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.8.html#sect_A.8.1.3
+    if( ds.FindDataElement( Tag(0x0028,0x0030) ) )
+      {
+      // Type 1C in 'SC Image' (for calibrated images)
+      spacingtag = Tag(0x0028,0x0030);
+      }
+    else if( ds.FindDataElement( Tag(0x0018,0x2010) ) )
+      {
+      // Type 3 in 'SC Image'
+      spacingtag = Tag(0x0018,0x2010);
+      }
+    }
+  else
+    {
+    spacingtag = GetSpacingTagFromMediaStorage(ms);
+    }
   if( spacingtag != Tag(0xffff,0xffff) && ds.FindDataElement( spacingtag ) && !ds.GetDataElement( spacingtag ).IsEmpty() )
     {
     const DataElement& de = ds.GetDataElement( spacingtag );