AMA Clinical Examples in Radiology - 2013 Issue 1 (Winter)
Radiology Test Case Answer
Radiology Test Case Answer 78014 Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) A9516 Iodine I-123 sodium iodide capsule(s), diagnostic per 100 microcuries up to 999 microcuries Coding Tip The nuclear medicine procedure codes were not created to include the costs of the radiopharmaceuticals or nuclear medicine–related drugs. Diagnostic and therapeutic radiopharmaceuticals and drugs supplied should be reported separately with the appropriate HCPCS Level II supply code(s) in addition to the procedure code. Take note that some of the radiopharmaceuticals are reported per dose, while others...
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Article Overview
This article explains a thyroid nuclear medicine case in the context of radiology and clinical coding. It discusses the relevant CPT and HCPCS Level II reporting structure, the relationship between the procedure and separately reported radiopharmaceutical supply codes, and the broader update background for thyroid-related nuclear medicine coding. It is intended for coders, billers, and radiology reimbursement staff working with nuclear medicine and thyroid studies.
Why This Topic Matters
Accurate reporting for thyroid nuclear medicine services depends on recognizing the procedure code framework, separate drug/supply coding, and the policy context that affects charge capture and reimbursement data. This article helps readers understand the scope of the service and the coding categories involved.
Article Sections
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Radiology Test Case Answer
Introduces the case and sets the context for the thyroid nuclear medicine coding discussion.
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Coding Tip
Provides general guidance on reporting nuclear medicine procedures and related radiopharmaceutical supplies in a radiology setting.
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Discussion
Reviews the thyroid nuclear medicine coding update background, the case context, and broader reimbursement considerations for reporting these services.
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References
Lists professional society and CMS sources cited in support of the article content.
What You Will Learn
- How thyroid nuclear medicine services are situated within radiology coding
- How procedure reporting relates to separately reported radiopharmaceutical supplies
- What broader update context surrounds thyroid-related nuclear medicine coding
- Which types of organizations and guidance documents support this topic
Who Should Read This
- Radiology coders
- Medical billers
- Nuclear medicine staff
- Revenue cycle professionals
- Compliance staff
Codes Discussed
Code Ranges Discussed
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