AMA Clinical Examples in Radiology - 2009 Issue 1 (Winter)
Bone Scintigraphy
Bone Scintigraphy Clinical History Malignant neoplasm lung. Lung cancer, evaluate for bony osseous metastatic disease. Examination Bone/Joint Scan Total Body A9561 78306 Approximately 3 hours after the administration of 25 mCi of Tc-99m HDP, a wholebody bone scan was performed of the axial and appendicular skeleton in the anterior and posterior projections. Additionally, spot images of the thoracic and lumbar spine were also performed using a gamma camera. There are no prior bone scans available 3570F for comparison. Correlation is made with a CT scan of the chest, abdomen, and pelvis dated November 8, 2008. There is a scoliosis...
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Article Overview
This article explains a bone scintigraphy case in the context of nuclear medicine reporting and quality-measure documentation. It is useful for coders, radiology billing staff, and compliance teams who need to understand which general reporting elements are discussed for the study, including associated imaging correlation and measure-based reporting references.
Why This Topic Matters
Bone imaging reports may involve multiple code sets and documentation elements, so understanding the article’s scope helps readers determine whether it applies to their radiology coding or quality-reporting workflow.
Article Sections
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Clinical History
Provides the clinical context for the imaging study and the reason the examination was performed.
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Examination
Identifies the imaging exam performed and describes the study setup and review context.
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Imaging Findings and Impression
Summarizes the scan findings and the overall interpretation of the study.
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How to Code
Lists the related reporting items discussed for this example and introduces the surrounding coding guidance.
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Discussion
Reviews broader coding and reporting considerations tied to the example, including category-based measure reporting and radiopharmaceutical billing context.
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Coding Tips
Presents general coding guidance for related bone imaging services and how the example fits within that framework.
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PQRI Tips
Covers quality-reporting references and measure-related considerations connected to the bone scintigraphy example.
What You Will Learn
- The general purpose and documentation context of a bone scintigraphy report.
- How the article connects a nuclear medicine exam with coding and quality-reporting references.
- What broader topics are addressed for bone imaging, related studies, and performance-measure documentation.
- Which organizations and reference materials are associated with the example.
Who Should Read This
- Radiology coders
- Hospital outpatient billing staff
- Compliance professionals
- Nuclear medicine departments
- Quality reporting staff
Codes Discussed
Modifiers Discussed
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