Medical HCPCS Procedure: Tc-99m from Non-Highly Enriched Uranium Source, Full Cost Recovery Add-On, Per Study Dose (Q9969)

Name of the Procedure:

• Common Name(s): Tc-99m Imaging, Technetium Imaging
• Technical/Medical Term: Tc-99m from Non-Highly Enriched Uranium Source

Summary

Technetium-99m (Tc-99m) imaging is a diagnostic procedure that uses a radioactive substance to create detailed images of structures and functions within the body. This specific version uses Tc-99m sourced from non-highly enriched uranium (non-HEU), contributing to safer and more sustainable medical practices.

Purpose

This imaging procedure helps in diagnosing various medical conditions, including heart diseases, bone disorders, and certain cancers. The goal is to obtain clear images that aid in the accurate diagnosis and management of these conditions.

Indications

• Symptoms or conditions warranting the procedure include unexplained chest pain, bone pain, abnormal blood test results, or cancer staging.
• Appropriate for patients needing detailed organ or tissue imaging to guide diagnosis and treatment.

Preparation

• Patients may need to avoid eating or drinking for several hours before the procedure.
• Specific instructions regarding medication adjustments might be provided by the physician.
• Pre-procedure diagnostic tests might include blood work or baseline imaging studies.

Procedure Description

1. Injection of Radiotracer: The procedure begins with the intravenous injection of Tc-99m.
2. Absorption Period: The radiotracer is absorbed by the target organs or tissues over a period.
3. Imaging: The patient will then be positioned under a gamma camera, and multiple images will be taken to visualize the concentration of the radiotracer within the body.
4. Analysis: The images captured are analyzed by a radiologist to provide diagnostic information.

Tools used include a gamma camera and intravenous syringe. Anesthesia or sedation is generally not required.

Duration

The entire procedure, including preparation and imaging, typically takes about 1 to 2 hours.

Setting

This procedure is usually performed in a hospital's radiology department, an outpatient imaging center, or a specialized nuclear medicine facility.

Personnel

• Radiologist: Interprets the imaging results.
• Nuclear Medicine Technologist: Administers the radiotracer and conducts the imaging.
• Nurse or Medical Assistant: May assist with patient preparation and care.

Risks and Complications

• Common Risks: Mild discomfort at the injection site, minor allergic reactions.
• Rare Risks: Severe allergic reactions, radiation exposure-related risks (very minimal).

Benefits

• Provides precise and detailed diagnostic information.
• Non-invasive with minimal discomfort.
• Rapid results assist in prompt diagnosis and treatment planning.

Recovery

• Generally, there is no significant recovery time needed.
• Patients can usually resume normal activities shortly after the procedure.
• Follow-up appointments may be scheduled to discuss the results.

Alternatives

• CT Scan or MRI: Alternative imaging modalities, but may lack the same specific capabilities.
• Ultrasound: Another less invasive option, but not as detailed for certain conditions.

Patient Experience

• During the procedure, patients may feel a cold sensation or mild discomfort at the injection site.
• The imaging process is painless.
• Comfort measures may include blankets or pillows for support during imaging.

Pain management is generally not needed, but patients are welcome to discuss any concerns with their healthcare provider beforehand.