Results 1 to 4 of 4

how would you code this?

  1. #1
    Unhappy how would you code this?
    Exam Training Packages
    I work for a radiology group and one of our provides dictates a body scan this way

    WHOLE BODY BONE SCAN WITH SPECT IMAGES OF THE SPINE:

    HISTORY: Back pain.

    TECHNIQUE: Following intravenous administration of * mCi technetium 99-M MDP, detail views were obtained of the lumbar spine and all projections. Computed emission tomograms were also obtained the lumbar spine in the coronal, sagittal, and axial planes.

    FINDINGS:
    Conventional images: Intensely increased uptake in the superior endplate of L3 and inferior endplates of L1 and L2 on the right. Evidence of posterior lateral fusion mass at L4-S1 with no focally increased uptake. Few degrees of leftward thoracolumbar curvature.

    SPECT images: The SPECT images showed increased uptake anteriorly at L2-L4 and intensely increased uptake in the posterior elements at L3-4. Moderately increased uptake at the level of the left L5 pars and adjacent facet joints.
    Words: 126 Chars: 842

    1. Mild S-shaped scoliotic curvature with evidence of previous L4-S1 fusion.
    2. Increased uptake in the anterior elements of L1-L3.

    My question is is this a whole body scan or an limited body scan? we are having a discussion on which code to use 78300 or 78306?

    Thanks for your help
    Evelyn
    EVELYN KIM , MBA, CPC, CPMA,CRC

  2. #2
    Default Radiology Question
    Since it appears he only took images of the spine I think I would code the 78300, limited area.

  3. #3
    Default
    I agree, limited area since only the spine is involved.

  4. #4
    Smile
    Thanks, That is what I thought. I will need to get him to change the title.
    EVELYN KIM , MBA, CPC, CPMA,CRC

Similar Threads

  1. To Code or Not to Code. Should Physicians Become AAPC Certified Professional Coders?
    By maaronson86 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2012, 07:44 AM
  2. Replies: 1
    Last Post: 07-07-2011, 10:03 AM
  3. Replies: 1
    Last Post: 03-07-2011, 11:55 AM
  4. Replies: 2
    Last Post: 04-25-2010, 10:50 PM
  5. Replies: 6
    Last Post: 12-01-2008, 11:09 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?

Login

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.