Please note this question was answered in 2022. The coding advice may or may not be outdated.
78803
Question:
Do codes 78306 and 78803 apply here?
MC NM BONE SCAN WHOLE BODY WITH SPECT WHEN NECESSARY
HISTORY: This is a x8 year old x with prostate cancer undergoing staging.
COMPARISON: CT chest abdomen and pelvis 5/19/20
PROCEDURE: Approximately 2 hours following injection of 26.9 mCi Tc99m MDP anterior and posterior whole body images were obtained with lateral views of the skull.
FINDINGS: Whole body images demonstrate normal distribution of activity throughout the axial and appendicular skeleton with nearly diffuse increased activity involving the spine, sternum, clavicles, ribs, pelvis, proximal femurs, and shoulder regions. Lower extremities suboptimally evaluated due to motion artifact. There is reduced soft tissue, renal, and urinary bladder uptake.
IMPRESSION: Extensive osseous metastatic disease, approaching "SuperScan".
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