AMA Clinical Examples in Radiology - 2019 Issue 4 (Fall)

 Thyroid Carcinoma Scan with SPECT/CT

RADIOLOGY TEST CASE ANSWER Thyroid Carcinoma Scan with SPECT/CT HOW TO CODE Through December 31, 2019, the coding should be as follows: 78018 Thyroid carcinoma metastases imaging; whole body 78020 Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) 78803 Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); tomographic (SPECT) 78099 Unlisted endocrine procedure, diagnostic nuclear medicine A9509 X2 Iodine I-123 sodium iodide, diagnostic, per millicurie C73 Malignant neoplasm of thyroid gland C77.1 Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes After January 1, 2020, the coding should be as follows: 78018...

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