Hattiesburg Posted Thu 04th of May, 2017 13:05:31 PM
What codes would I use for Liver SPECT nuclear medicine scan with Tc99M tagged red blood cells?
SuperCoder Answered Fri 05th of May, 2017 02:11:48 AM
According to above scenario, correct CPT code for liver SPECT scan with vascular flow with tagged red blood cells would be 78206. In this procedure, when imaging is done with a vascular flow test, red blood cells are labeled/tagged to enable imaging of the blood flow through the liver. In order to report contrast material (Technetium Tc-99m), there are four codes available as following, which can be reported as per the type of drug administered and its purpose and what medical documentation supports.
A9503 - Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries. Use this code for the supply of a single diagnostic study dose of Technetium tc 99m tetrofosmin, for radio imaging of the blood supply of the muscles of the heart.
A9510 - Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries. Use this code for an intravenous injection of Technetium tc–99m disofenin, which a provider uses to evaluate the structure and function of the liver, bile, bile ducts, and gall bladder
A9537 - Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries. The provider administers Technetium tc 99m mebrofenin intravenously, or into a vein, where the agent spreads to the hepatobiliary system. This helps in detection of any malignancy in the liver, bile, bile ducts, and gallbladder.
A9541 - Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries. The provider administers Technetium tc 99m sulfur colloid intravenously, or into a vein, to detect disorders of liver and bone marrow.
HOPE THIS HELPS!