TECHNETIUM 99M SESTAMIBI INJECTION ONLY:

INDICATION: Scheduled parathyroidectomy.

IMPRESSION:

2.1 mCi of Tc 99m sestamibi was intravenously given to the patient. No images were taken. The patient was sent to the surgical suite for surgery.

I coded this as 78808 for the radiologist, but the hospital has billed it as a sentinel node under code 38792. The service was performed as outpatient. Medicare has twice denied this code, first for not having the modifier 26 (understandable) and now because of POS. I cannot find any local LCD or even an NCD for this code.

Any help would be appreciated.