AMA Clinical Examples in Radiology - 2009 Issue 4 (Fall)
Nuclear Medicine Renal Scan
Nuclear Medicine Renal Scan Procedure Nuclear Medicine Renal Scan with Lasix® Clinical History Abnormal prior imaging. Poor left renal function. Comparison MAG3® renogram dated 05-09-2008. CT Urogram. Technique The patient was injected with 10 mCi of technetium 99m MAG3. A total of 20 mg of IV. Lasix was administered 20 minutes into the exam as part of an F+20 Lasix renogram protocol. Findings There is asymmetric tracer uptake in the kidneys, with split function of 67% on right and 33% on the left. There is poor uptake in the left midand lower pole, related to scarring, as seen on...
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Article Overview
This article explains a nuclear medicine renal scan case and related coding guidance for renal scintigraphy performed with pharmacologic intervention. It is aimed at coders, billers, and nuclear medicine staff who need to understand the general scope of the study, associated supply reporting, and the protocol variations discussed in the article. The content also places the example in the context of renal function assessment, obstruction evaluation, and related renal imaging considerations.
Why This Topic Matters
Renal scintigraphy is commonly coded with multiple service and supply components, so understanding the full scope of the study helps support accurate reporting and documentation review. The article is relevant for distinguishing single-study renal imaging with pharmacologic intervention from other renal scan approaches and for recognizing related supply and protocol references.
Article Sections
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Procedure
Introduces the renal scan example and the general study context.
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Clinical History
Summarizes the patient history and the reason the imaging was performed.
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Comparison
Lists prior imaging studies used for comparison in the report.
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Technique
Describes the overall imaging approach and administration of the study-related agents.
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Findings
Presents the imaging observations and overall functional assessment from the exam.
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Impression
States the final interpretive summary of the renal scan findings.
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Discussion
Provides broader coding and procedural context for renal scintigraphy, including references to study types, protocols, and related supply reporting.
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References
Lists source references supporting the article discussion.
What You Will Learn
- The general purpose and structure of a nuclear medicine renal scan report
- How renal scintigraphy is discussed in relation to pharmacologic intervention
- What kinds of supply and protocol topics are addressed in the coding discussion
- How the article frames related renal imaging and functional assessment concepts
Who Should Read This
- Medical coders
- Outpatient billers
- Nuclear medicine technologists
- Radiology coding staff
- Compliance staff
Codes Discussed
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