NM- Nuclear Medicine

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1 NM- Nuclear Medicine CODE DESCRIPTION Thyroid uptake; single determination Thyroid uptake; multiple determinations Thyroid uptake; stimulation, suppression or discharge Thyroid imaging with uptake; single determination Thyroid imaging with uptake, multiple determinations Thyroid imaging; only Thyroid imaging; with vascular flow Thyroid imaging for metastases; limited area Thyroid imaging for metastases; with additional studies Thyroid imaging for metastases; whole body Thyroid metastases uptake Parathyroid gland imaging Adrenal gland imaging Endocrine system, unlisted services and procedures Bone marrow imaging; limited area Bone marrow imaging; multiple areas Bone marrow imaging; whole body Red cells; single sampling Red cells; multiple samplings Whole blood volume NM - 1

2 78130 Red cell survival Red cell survival; differential organ/tissue kinetics Iron, red cells Plasma radioiron disappearance (turnover) rate Radioiron oral absorption Radioiron red cell utilization Chelatable iron for estimation of total body iron Spleen imaging Kinetics, study of platelet survival, with or without differential organ/tissue localization Platelet survival study Lymph nodes imaging Unlisted services and procedures Liver imaging; static only Liver imaging; with vascular flow Liver imaging (SPECT) Liver imaging (SPECT); with vascular flow Liver and spleen imaging; static only Liver and spleen imaging; with vascular flow Liver function study Gallbladder imaging Salivary gland imaging Salivary gland imaging; with serial images Salivary gland function study NM - 2

3 78258 Esophagus imaging Gastric mucosa imaging Stomach reflux study Stomach emptying study Stomach, vitamin B-12 absorption; without intrinsic factor Stomach, vitamin B-12 absorption; with intrinsic factor Stomach, vitamin B-12 absorption; combined Gastrointestinal blood loss study Gastrointestinal protein loss study Intestine imaging Gastrointestinal shunt testing Unlisted services and procedures Bone imaging; limited area Bone imaging; multiple areas Bone imaging; whole body Bone imaging; three phase study Bone imaging; tomographic (SPECT) Unlisted services and procedures Blood flow imaging Vein, thrombosis imaging Vein, thrombosis imaging; peptide Vein, thrombosis imaging; venogram; unilateral Vein, thrombosis imaging; bilateral Lung, imaging perfusion; particulate NM - 3

4 78584 Lung, imaging perfusion, particulate, with ventilation; single breath Lung, imaging perfusion, rebreathing and washout, with or without single breath Lung, imaging ventilation, aerosol; single projection Lung, imaging ventilation, aerosol; multiple projections Lung, imaging ventilation, particulate; one or multiple projections Lung, imaging ventilation, gaseous; single breath, single projection Lung, imaging ventilation, gaseous; with rebreathing and washout with or without single breath; single projection Lung, imaging ventilation, gaseous; with rebreathing and washout with or without single breath; multiple projections Unlisted services and procedures Brain imaging, limited procedure; static Brain imaging, with vascular flow Brain imaging, complete study; static Brain imaging, with vascular flow Brain imaging, tomographic Brain imaging, PET; metabolic evaluation Brain imaging, PET; perfusion evaluation Brain imaging, vascular flow only Brain, cerebrospinal fluid; cisternography Brain, cerebrospinal fluid; ventriculography Brain, cerebrospinal fluid; shunt evaluation Brain, cerebrospinal fluid; tomographic (SPECT) Brain, cerebrospinal fluid; leakage detection and localization NM - 4

5 78660 Lacrimal gland tear flow Nervous system, unlisted services and procedures Kidney imaging; static only Kidney imaging; with vascular flow Kidney imaging; with vascular flow and function Kidney imaging, tomographic (SPECT) Kidney function study Bladder residual study Ureter reflex study Testes imaging; with vascular flow Genitourinary system, unlisted services and procedures Tumor localization; limited area Tumor localization; multiple areas Tumor localization; whole body, single day Tumor localization; tomographic (SPECT) Tumor localization; whole body, two or more days Inflammatory process; limited area Inflammatory process; whole body Inflammatory process; tomographic (SPECT) Automated data; simple manipulations and interpretation Automated data; complex manipulations and interpretation Unlisted services and procedures NM - 5

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