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CPT®
78587

CPT® Code 78587
Deleted

Code deleted, see 78579, 78582-78598

Official Description

Pulmonary ventilation imaging, aerosol; multiple projections (eg, anterior, posterior, lateral views)

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Common Language Description

The procedure described by CPT® Code 78587 refers to pulmonary ventilation imaging using an aerosolized radioactive gas. This imaging technique involves the patient inhaling and exhaling a radioactive substance, which is then monitored by a specialized camera capable of detecting the emitted radioactive particles. The primary purpose of this procedure is to visualize the airways and assess lung function by identifying any potential obstructions or abnormalities within the respiratory system. During the imaging process, multiple projections are captured, including anterior, posterior, and lateral views, which provide comprehensive insights into the patient's pulmonary status. The repeated inhalation and exhalation of the radioactive gas during the imaging allows for a thorough evaluation of the ventilation patterns in the lungs, aiding physicians in diagnosing various respiratory conditions.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The pulmonary ventilation imaging procedure using aerosol is indicated for various clinical scenarios where assessment of lung function and airway patency is necessary. The following conditions may warrant this imaging technique:

  • Evaluation of Obstructive Lung Disease This procedure is often performed to assess conditions such as asthma or chronic obstructive pulmonary disease (COPD), where airway obstruction may be present.
  • Assessment of Lung Function It is utilized to evaluate overall lung function, particularly in patients with known respiratory issues or those undergoing preoperative assessments.
  • Investigation of Respiratory Symptoms Patients presenting with unexplained respiratory symptoms, such as chronic cough or shortness of breath, may be candidates for this imaging to identify underlying causes.

2. Procedure

The pulmonary ventilation imaging procedure involves several key steps to ensure accurate and effective assessment of lung function. The following procedural steps are typically followed:

  • Preparation of the Patient The patient is prepared for the procedure by explaining the process and ensuring they understand the importance of inhaling and exhaling the radioactive gas. The patient may be asked to remove any clothing or accessories that could interfere with imaging.
  • Administration of the Radioactive Aerosol The patient is then instructed to inhale the aerosolized radioactive gas. This is typically done using a nebulizer or similar device that delivers the gas in a fine mist, allowing for optimal absorption into the lungs.
  • Imaging Acquisition As the patient breathes in and out the radioactive gas, multiple images are captured from various angles, including anterior, posterior, and lateral views. This imaging is performed using a gamma camera that detects the radiation emitted from the gas within the lungs.
  • Monitoring and Evaluation Throughout the procedure, the physician monitors the patient to ensure proper inhalation and exhalation techniques are followed. The images obtained are then evaluated to identify any obstructions or abnormalities in lung function.

3. Post-Procedure

After the pulmonary ventilation imaging procedure is completed, the patient may be monitored briefly to ensure there are no immediate adverse reactions to the radioactive gas. Typically, there are no specific post-procedure care requirements, and patients can resume normal activities unless otherwise instructed by their physician. It is important for patients to follow any additional recommendations provided by their healthcare provider regarding hydration or follow-up appointments to discuss the results of the imaging.
Short Descr AEROSOL LUNG IMAGE MULTIPLE
Medium Descr PULM VI AERSL MLT PRJCJ
Long Descr Pulmonary ventilation imaging, aerosol; multiple projections (eg, anterior, posterior, lateral views)
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 208 - Radioisotope pulmonary scan
Date
Action
Notes
2012-01-01 Deleted Code deleted, see 78579, 78582-78598
2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
Code
Description
Code
Description
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