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Thread: Coding Hepatobiliary scan with new 2012 codes

  1. #1
    Join Date
    Apr 2007

    Default Coding Hepatobiliary scan with new 2012 codes

    AAPC: Back to School

    HIDA Scan

    Following the uneventful intravenous infusion of 4.4 mCi Tc-99m Choletec, the liver is seen at 10 minutes, the gallbladder and common bile duct to the small bowel at 20 minutes. At 60 minutes, 1.7 mirograms of Kinevac was given and 30 cc of saline over 30 minutes. The ejection fraction is normal at 76% at 30 minutes.

    Conclusion: normal HIDA scan and ejection fraction
    Reason for visit: abdominal pain

    How would you code the above report using the new 2012 procedure codes? Could you also give an explanation so I can show to our Doctors.

    Thank you,

    Ingrid Moore, CPC

  2. #2
    Join Date
    Apr 2007
    Salt Lake City


    It sounds to me due to the Kinevac it would qualify as 78227.
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Join Date
    Apr 2007
    Alexandria, LA


    I agree, 78227 - hepatobiliary scan with pharmacologic intervention.
    The Kinevac given during the procedure is your key.

  4. #4
    Join Date
    Apr 2007


    Thank you so much!! I had a feeling it would be the 78227 but I wasn't sure if the Kinevac was the "pharmacologic intervention".

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