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Code deleted, see 78012-78014

Official Description

Thyroid imaging, with uptake; multiple determinations

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 78007 involves thyroid imaging with uptake, specifically focusing on the assessment of how the thyroid gland absorbs radioactive iodine isotopes. In this diagnostic imaging procedure, a physician administers radioactive iodine to the patient, which is a common practice for evaluating thyroid function. The radioactive iodine is introduced into the patient's body, and its absorption by the thyroid gland is monitored. This is accomplished using a specialized camera that captures images of the radioactive material as it is taken up by the thyroid tissue in the neck. The key aspect of this procedure is that it involves multiple determinations of iodine uptake, allowing for a comprehensive evaluation of the thyroid's functionality. This imaging technique is crucial for diagnosing various thyroid conditions, including hyperthyroidism, hypothyroidism, and thyroid nodules, by providing valuable insights into the gland's metabolic activity and overall health.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 78007 is indicated for several specific clinical scenarios where assessment of thyroid function is necessary. These indications include:

  • Hyperthyroidism - A condition characterized by an overactive thyroid gland, leading to excessive production of thyroid hormones.
  • Hypothyroidism - A condition where the thyroid gland is underactive, resulting in insufficient hormone production.
  • Thyroid nodules - Abnormal growths within the thyroid that may require evaluation to determine their nature and potential impact on thyroid function.
  • Thyroid cancer evaluation - Assessing the functionality of the thyroid in patients with a history of thyroid malignancies.

2. Procedure

The procedure for thyroid imaging with uptake, as described by CPT® Code 78007, involves several critical steps to ensure accurate assessment of iodine absorption by the thyroid gland. The following procedural steps are typically followed:

  • Step 1: Administration of Radioactive Iodine - The physician begins by administering a dose of radioactive iodine isotopes to the patient. This is usually done orally or intravenously, depending on the specific protocol and the patient's condition.
  • Step 2: Waiting Period - After the administration of radioactive iodine, a waiting period is observed to allow the thyroid gland to absorb the iodine. This period can vary based on the specific imaging protocol being followed.
  • Step 3: Imaging with a Special Camera - Following the waiting period, the patient is positioned in front of a specialized gamma camera. This camera is designed to detect the radiation emitted by the absorbed iodine, allowing for the visualization of the thyroid gland's uptake of the radioactive material.
  • Step 4: Multiple Determinations - The physician performs multiple imaging sessions to determine the rate and extent of iodine absorption by the thyroid gland. Each determination provides critical data that contributes to the overall assessment of thyroid function.

3. Post-Procedure

After the completion of the thyroid imaging procedure, patients may be monitored for any immediate reactions to the radioactive iodine. It is generally advised that patients drink plenty of fluids to help flush the radioactive material from their system. Additionally, patients may receive specific instructions regarding any precautions they should take following the procedure, particularly if they are in close contact with others, especially pregnant women or young children, due to the radioactive nature of the iodine used. Follow-up appointments may be scheduled to discuss the results of the imaging and any further diagnostic or therapeutic steps that may be necessary based on the findings.

Short Descr THYROID IMAGE MULT UPTAKES
Medium Descr THYROID IMAGING W/UPTAKE MULT DETERMINATIONS
Long Descr Thyroid imaging, with uptake; multiple determinations
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Discontinued Code
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 209 - Radioisotope scan and function studies
Date
Action
Notes
2013-01-01 Deleted Code deleted, see 78012-78014
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
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Description
Code
Description
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