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Wiki Nuclear stress test_need CPT code

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Limbanidd2012@gmail.com

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Please check below procedure note and help me with the CPT code​

SPECT Report:​

SPECT Imaging Multi, Sestamibi x 2 doses Persantine52.9​

r/o cad.
Procedure Data Persantine:
After informed consent was obtained and patient pregnancy (females only) was ruled out, an intravenous line was established in the left arm using a 24 gauge IV. Pharmacologic stress testing was performed with intravenous administration of 52.90 mg of Dipyridamole over a 4 min infusion. Resting HR: 51 bpm. Peak HR: 55 bpm. Baseline BP: 120/80 . Peak BP: 118/80 . Symptoms with stress were none. Symptoms were resolved with rest. The procedure was terminated due to Pharmacologic protocol complete.

Myocardial Perfusion Imaging:
Rest Tc-99m/stress Tc-99m one day. Ungated tomographic myocardial perfusion imaging was performed at rest, following the intravenous injection of 11.10 mci of Tc-99m Sestamibi. Patient was imaged 45 min after resting injection. At peak stress, the patient was injected intravenously with 32.90 mci of Tc-99m Sestamibi. Gated post-stress tomographic imaging was performed 45 minutes after stress isotope injection.

ECG:
Resting ECG: Normal sinus rhythm. Nonspecific ST abnormality.

Post ECG: No diagnostic ST changes. Findings do not meet strict criteria for ischemia.

Arrhythmia: No arrhythmias seen.

Perfusion Defect5:
Myocardial perfusion images show a small defect during stress of mild intensity. It is a reversible perfusion abnormality located in the basal inferolateral and mid inferolateral segments. Findings are consistent with ischemia.
LV Function:
Stress Ejection Fraction is 64 %. Stress End-systolic volume is 24 cc. Stress End-diastolic volume is 67 cc.
WallMotion PostStress:
No wall motion abnormalities.
Outcomes:
Abnormal Perfusion Imaging.

Conclusion

  • Myocardial perfusion images show a small defect during stress of mild intensity. It is a reversible perfusion abnormality located in the basal inferolateral and mid inferolateral segments. Findings are consistent with ischemia.
  • Normal sinus rhythm. Nonspecific ST abnormality. No diagnostic ST changes. Findings do not meet strict criteria for ischemia. No arrhythmias seen.
  • Stress Ejection Fraction is 64 %. Stress End-systolic volume is 24 cc. Stress End-diastolic volume is 67 cc.
  • No wall motion abnormalities
  • Mildly Abnormal Perfusion Imaging. Small area of mild mid to basal inferolateral ischemia, with normal wall motion and EF.
 
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