Nuclear Medicine Question for the Week of October 5, 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: