What does CPT code 78227 mean?

What does CPT code 78227 mean?

Hepatobiliary system imaging
78227: Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed.

What is an indium bone scan?

An indium-111 WBC scan is used to look for a suspected infection. The scan involves the injection of radioactive white blood cells into the vein through a small needle, followed by a gamma camera scan to confirm or exclude a clinically suspected infection.

What is CPT code for DEXA scan?

77081
DEXA Scans and Insurance Codes

CPT® code Definition
77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites appendicular skeleton (peripheral) (e.g., radius, wrist, heel)
76977 Other Diagnostic Ultrasound Procedures; bone density measurement and interpretation, peripheral site(s), any method

What is the description of CPT code 78264?

Code 78264 is for a regular gastric emptying study. Code 78265 includes small bowel transit, and code 78266 includes small bowel and colon transit over multiple days.

How is an Indium scan done?

The indium white blood cell scan, is a nuclear medicine procedure in which white blood cells (mostly neutrophils) are removed from the patient, tagged with the radioisotope Indium-111, and then injected intravenously into the patient. The tagged leukocytes subsequently localize to areas of relatively new infection.

Why is a white blood cell scan done?

A labeled WBC scan is used for detection of abscesses and infection in soft tissues, skeleton, or fever of unknown origin.

What is CPT code A9584?

A9584 is a valid 2021 HCPCS code for Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries or just “Iodine i-123 ioflupane” for short, used in Diagnostic radiology.

When to use a 111 indium WBC scan?

The indium 111- tagged white blood cell (WBC) scan is used to help identify regions of inflammation and thus infections when other imaging studies are equivocal or contraindicated.  In addition to a 111-indium WBC scan, the gallium 67 radiolabeled scan has been used previously as a type of nuclear imaging scan. 

Are there any false positives on 111 indium?

These include an accessory spleen, acute bleed/hematomas, neoplasms, foreign body inflammatory response, and inflammatory bowel disease.[3]  Noninfectious etiologies of increased uptake on 111-indium nuclear scans include rheumatoid and gouty arthritis, which may also lead to false-positive interpretations.[3] 

Which is better, a gallium scan or an indium scan?

Osteomyelitis not involving the spine (radionucleotide scans utilizing gallium have been shown to be superior to indium alone in detecting osteomyelitis of the spine). [4] Prosthetic joint infection  Vascular grafts

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