Search all medical codes

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging

CPT4 code

Name of the Procedure:

Radiopharmaceutical localization of tumor, inflammatory process, or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (e.g., head, neck, chest, pelvis), single day imaging

Summary

This procedure uses a special radioactive substance (radiopharmaceutical) to detect and image tumors, inflammations, or the distribution of specific agents in a targeted area of the body (such as the head, neck, chest, or pelvis). The imaging is performed in a single session.

Purpose

  • Medical Condition: Helps to identify and diagnose tumors, areas of inflammation, or abnormal distribution of substances in the body.
  • Goals: To provide clear and focused images of a specific area to assist doctors in determining the presence and extent of disease.

Indications

  • Unexplained symptoms like persistent pain or swelling.
  • Suspected tumors or inflammatory conditions.
  • Prior to or following cancer treatments to assess the effectiveness.
  • Patients showing abnormal lab results indicating possible underlying conditions.

Preparation

  • Patients may need to fast for a few hours before the procedure.
  • Certain medications may need to be adjusted or paused.
  • Pre-procedure tests (e.g., blood tests) may be required to ensure no contraindications.

Procedure Description

  1. Administration of a radiopharmaceutical through an injection.
  2. The patient waits for a specific time to allow the substance to distribute in the body.
  3. The targeted area is scanned using a special camera that detects the radiation emitted.
  4. Multiple images (planar) are taken to capture comprehensive details of the area.
  • Tools: Gamma camera or similar imaging technology.
  • Anesthesia: Generally, no anesthesia or sedation is required.

Duration

The entire process typically takes about 1-2 hours, including the preparation, waiting period, and imaging.

Setting

Performed in a hospital, outpatient radiology clinic, or specialized imaging center.

Personnel

  • Radiologist or nuclear medicine specialist.
  • Radiology technologist or technician.
  • Nursing staff for patient support.

Risks and Complications

  • Common: Minimal risk; slight discomfort at the injection site.
  • Rare: Allergic reactions to the radiopharmaceutical, mild nausea, or dizziness.
  • Management: Immediate medical attention if severe reactions occur.

Benefits

  • Expected Benefits: Accurate and detailed images to help diagnose and guide treatment.
  • Realization Time: Immediate review by healthcare providers, with results often discussed within days.

Recovery

  • Post-procedure, patients can typically resume normal activities.
  • Drink plenty of fluids to help flush the radioactive substance from the body.
  • Follow-up appointments as needed based on findings.

Alternatives

  • CT scans, MRI, or ultrasound.
  • Each has its own pros and cons, such as different imaging capabilities and availability.

Patient Experience

  • During: Mild discomfort from injection and lying still during imaging.
  • After: Generally, no significant discomfort; specific instructions and support for any potential side effects.
  • Pain Management: Typically not necessary due to the non-invasive nature of the procedure.

Medical Policies and Guidelines for Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging

Related policies from health plans

Similar Codes