Hepatobiliary Scan

Hepatobiliary Scan with Gallbladder Ejection Fraction Clinical History 56-year-old man with right upper-quadrant pain. Procedure Nuclear medicine hepatobiliary scan with gallbladder ejection fraction. Comparison Abdominal ultrasound. Technique A9537 The patient was injected intravenously with 3.2 mCi Tc-99m mebrofenin. Initial arterial flow imaging of the abdomen was followed by dynamic imaging over the course of 90 minutes. 78227 The patient also received 2.3 mcg of cholecystokinin (CCK) administered intravenously beginning 46 minutes after the administration of Tc-99m mebrofenin. Regions of interest were drawn and the gallbladder ejection fraction was measured post-CCK. Findings Subsequent dynamic imaging demonstrates prompt hepatic...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a hepatobiliary scintigraphy example centered on gallbladder assessment with pharmacologic intervention, along with the associated reporting of separately billable nuclear medicine supplies and drugs. It is aimed at coders, radiology staff, and billing professionals who need to understand how the exam is documented, what supporting supply codes may be referenced, and how the discussion frames the study within broader hepatobiliary imaging guidance.

Why This Topic Matters

Hepatobiliary scans often involve both a procedure code and separate supply or drug reporting, so understanding the scope of this article helps ensure the service is captured consistently in nuclear medicine billing workflows.

Article Sections

  1. Clinical History

    Provides the patient context and the reason the study was performed.

  2. Procedure

    Summarizes the nuclear medicine study and the general imaging approach used in the example.

  3. Comparison

    Identifies the prior imaging study used for comparison.

  4. Technique

    Describes the radiopharmaceutical administration and the imaging process at a broad level.

  5. Findings

    Presents the imaging observations and measurement results from the study.

  6. Impression

    Summarizes the overall interpretation of the exam.

  7. How to Code

    Introduces the coding references associated with the example and the related supply reporting.

  8. Coding Tips

    Discusses general billing considerations for hepatobiliary imaging, radiopharmaceuticals, and related drugs.

  9. Discussion

    Provides broader background on hepatobiliary imaging, code revisions, and the role of pharmacologic intervention and supply reporting.

  10. References

    Lists source materials cited by the article.

What You Will Learn

  • The general purpose and structure of a hepatobiliary scintigraphy example
  • How the article frames separate reporting for nuclear medicine procedure and supply items
  • The broader context of hepatobiliary imaging with pharmacologic intervention
  • The types of supporting guidance and references associated with this topic

Who Should Read This

  • Medical coders
  • Radiology coders
  • Nuclear medicine billing staff
  • Revenue integrity professionals
  • Radiology documentation teams

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: A9500-A9700

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