78801 & 78803

Lynda Wetter

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Local Chapter Officer
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Can anyone tell me if this report constitutes CPT 78801 & 78803-59Reason for Study: PRIMARY HYPERTHYROIDISM

Reason For Visit: PRIMARY HYPERTHYROIDISM

Examination: Parathyroid scan

Radiopharmaceutical: Technetium 99m-sestamibi.

Dose: 22.1 mCi

Technique: Pinhole images of neck and planar images of neck/chest
at 15 minutes post injection. SPECT images of neck/chest at 15
minutes post injection for further localization and complete evaluate
the neck and the mediastinum. Delayed pinhole images of neck and
planar images of chest at ~3hrs post injection.

Findings:

Planar images:Heterogeneous activity on early images involving both
lobes of thyroid gland consistent with known multinodular goiter.
There is a small focus of increased sestamibi uptake and retention
near right lobe lower pole, suspicious for parathyroid adenoma;
differential diagnosis includes thyroid nodule. Delayed pinhole and
planar images also show faint sestamibi retention in the upper pole
of left lobe, correlating to prominent underlying nodules seen on
today's ultrasound. No additional foci of suspicious uptake. No
abnormal focus in mediastinum. Physiologic activity in salivary
glands and myocardium.

SPECT images:There is a small focus of increased sestamibi uptake and
retention located near lower pole of the right thyroid lobe,
suspicious for parathyroid adenoma.

IMPRESSION:There is a small focus of increased sestamibi uptake and
retention located near lower pole of the right thyroid lobe, suspicious for
parathyroid adenoma; differential diagnosis includes thyroid nodule.
Heterogeneous uptake in left lobe is likely due to known multinodular
thyroid gland.
 
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