Radiology Question for the Week of December 10, 2018

Question:

We performed a kidney flow and function scan. Twenty minutes into the scan, Lasix was administered, and the imaging continued. Would we assign code 78708 or 78709?

Answer:

You would assign the following code, which is for one exam with pharmacological intervention.

78708 Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (e.g., angiotensin converting enzyme inhibitor and/or diuretic)

Code 78709 is reported when two complete scans are performed, one with pharmacologic intervention and one without.

78709 Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (e.g., angiotensin converting enzyme inhibitor and/or diuretic)

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