Radiology Question for the Week of October 26, 2015

Question:

Question 

If we perform a HIDA scan using Ensure® instead of CCK (cholecystokinin) to stimulate the gallbladder to obtain an ejection fraction, can we still assign code 78227?

Answer

No, as indicated in the descriptor below, code 78227 requires pharmacologic intervention, and Ensure® is not considered a drug. You would assign code 78226 instead of 78227.

78226  Hepatobiliary system imaging, including gallbladder when present;

78227  Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed

Answer: