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78803 78306

Date: Jul 6, 2022

Question:

Would both codes 78306 and 78803 be applied with this imaging?

"MC NM BONE SCAN WHOLE BODY WITH SPECT WHEN NECESSARY.

HISTORY: history of rectal adenocarcinoma with metastatic disease undergoing evaluation for osseous lesions. 

COMPARISON: Concurrent CT chest and abdomen, PET/CT 7/21/xxx 

PROCEDURE: Approximately two hours following injection of 24 mCi Tc99m MDP anterior and posterior whole body images were obtained with lateral views of the skull. 

FINDINGS: There is increased activity of the bilateral shoulders and knees which are likely related to degenerative changes. Otherwise, whole body images demonstrate normal distribution of activity throughout the axial and appendicular skeleton. 

IMPRESSION: No evidence of osteoblastic metastatic disease."

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