Cpt Code for Renal Scan with Lasix coding guide

Cpt Code for renal scan with Lasix -Nuclear Medicine

Cpt Code for Renal Scan with Lasix coding guide
Renal scan are done to find out any diagnosis in the Kidneys. These procedures are done mostly on patients with genitourinary symptoms or disorder. The procedure performed for obtained renal images involving the use of radionuclides like 99mTc-DTSA, 99mTc-DTPA or MAG3, radiopharmaceutical and pharmacological agents. Let us check out the CPT code for renal scan with LASIX in Nuclear Medicine. HIDA scan also used pharmacological intervention or agents.

78700- Kidney imaging Morphology;
For kidney imaging, the radionuclide used is 99Tc-DMSA. This radionuclide is injected and planar images of the kidney are obtained through the radiation emitted by the radioactive material. Supply and injection codes of radionuclide are coded separately.
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78701- Kidney imaging morphology; with vascular flow
For kidney imaging with vascular flow test, the radionuclide used is 99mTc- DTPA or MAG3. This is the most commonly used radioactive agent. For DTPA scan, the patient lying on the scanning bed with gamma camera under the bed. A small injection is given in the arm and a cannula is inserted into the vein. Then a radiopharmaceutical agent is injected. The camera will detect the agent and will produce images of the kidneys. This radioactive agent follows the blood as it flows through the kidney and finds any obstruction in the renal collecting system to check the filtration rate of kidney.

78707- Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention

This exam is same as Kidney imaging with vascular flow test. The only addition is to check the functions of kidney. Therefore, this exam checks both the vascular flow .i.e. blood flow and the function of kidney. The proper functioning of tubules and ducts and the rate of kidneys are filtering blood, are the common things to check through this exam.

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Procedure for CPT Code for Renal Scan with Lasix

78708- Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (e.g., angiotensin converting enzyme inhibitor and/or diuretic)
The exam is also called Lasik (scan). This exam is same as Kidney imaging with vascular flow and function. The only addition is the use of pharmacological intervention. The imaging of kidney is same as done in procedure 78707. If pharmacological intervention is used, a diuretic may also be injected to increase the flow of urine during the exam. The commonly used diuretic is Furosemide (Lasix). This makes kidney to make more urine and decrease the amount of water from reabsorption. Increase flow of urine in the ureter helps in detecting any obstruction in the ureters. Surgery may be necessary to clear the radiotracer if kidney fails to clear it after diuretic administration.

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Example for CPT Code for Renal Scan with Lasix 78708

Below is a perfect report to understand to learn CPT Code for Renal Scan with Lasix. Here if you can understand about the documentation of the procedure in the report, we can easily know how to CPT Code for Renal Scan with Lasix.

PROCEDURE: Lasix renal scan with diuretic washout,
10.0 mCi technetium 99m MAG3 was injected. Imaging of the kidneys was performed for 20 minutes. The patient then received 20 Lasix intravenously, and imaging was continued for a total of 60 minutes.

Perfusion to the kidneys is prompt and symmetric. There is prompt right renal uptake and excretion with complete washout following Lasix administration. Left kidney shows prompt tubular function and transit to the renal pelvis. Following the administration of Lasix there is increasing activity in the renal pelvis with minimal washout. This represents obstruction and is at the ureteropelvic junction. The split function is 45.6% on the left and 54.4% on the right.
Left ureteropelvic junction obstruction.

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