Results 1 to 2 of 2

Lexiscan thallium stress testing

  1. #1
    Default Lexiscan thallium stress testing
    Medical Coding Books
    Also is there any recommendation on good websites or books so I can read up on this area of coding?


    93015-Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report

    78465-Myocardial perfusion imaging; tomographic (SPECT), multiple studies (including attenuation correction when performed), at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantification

    78478-Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in addition to code for primary procedure)

    78480-Myocardial perfusion study with ejection fraction (List separately in addition to code for primary procedure)



    PROCEDURE PERFORMED: Lexiscan thallium stress testing.

    INDICATIONS FOR PROCEDURE: A 62-year-old female with a history of mitral valve disease.

    PROCEDURE IN DETAIL: The patient was brought to the nuclear suite at which time rest dose of thallium was injected via peripheral vein followed by the rest scan images. For the stress portion a stress dose of Lexiscan was injected via peripheral vein followed by the stress scan and Myoview, followed by the stress scan images. There were no complications.

    Hemodynamics. Resting blood pressure 120/90 with a heart rate of 69. During Lexiscan infusion blood pressure was 116/80 with a heart rate of 106. Resting EKG revealed sinus rhythm, otherwise normal EKG. During Lexiscan infusion there were no acute ST-T wave changes. No chest pain with exercise. No arrhythmia with exercise. Reason for termination was completion of protocol.
    Gated wall motion analysis revealed a left ventricular ejection fraction of 58% without evidence of segmental wall motion abnormalities.
    Perfusion images. SSS score of 9, SRS of 3, SDS of 6. Lung-heart ratio of 0.36. TID score of 1.31. Resting perfusion images showed a moderate area of inferior wall fixed defect. During stress there was partial reversibility of the same region.

    IMPRESSION: Lexiscan thallium stress testing significant for:
    Left ventricular ejection fraction of 58%.
    Perfusion images significant for a moderate area of inferior wall fixed defect with partial reversibility during stress.

    Thank You

  2. Default Nuclear codes
    Yes, that is the bundle we use for our nuks. Good luck!

Similar Threads

  1. lexiscan stress test
    By bkiesecker in forum Cardiology
    Replies: 0
    Last Post: 04-11-2011, 04:46 PM
  2. Stress Testing
    By khc123 in forum Cardiology
    Replies: 7
    Last Post: 07-20-2010, 01:35 PM
  3. Lexiscan stress cardiolite
    By Theresa Yeager in forum Cardiology
    Replies: 1
    Last Post: 01-15-2010, 08:36 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.