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Brain imaging using single photon emission computed tomography (SPECT) is a diagnostic procedure that employs a radiolabeled isotope tracer to visualize brain activity. This imaging technique is based on the principles of nuclear medicine, where a single-photon emitting nuclide, such as technetium-99, is utilized. SPECT imaging is particularly valuable because it allows for the assessment of blood flow variations in the brain, which can indicate areas of neural activity. By performing specific tasks during the imaging process, clinicians can identify regions of the brain that are functioning differently, which is crucial for diagnosing various neurological conditions. The procedure is instrumental in detecting and evaluating cerebrovascular diseases, dementia, and brain injuries. Additionally, SPECT can assist in the presurgical localization of seizure foci in patients with epilepsy, providing essential information for surgical planning. The imaging process involves the use of gamma cameras and advanced computer technology to create a three-dimensional (3-D) representation of the brain's structure and blood flow patterns, enhancing the physician's ability to interpret the results accurately.
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Brain imaging using SPECT is indicated for several clinical scenarios, particularly when assessing neurological conditions. The following are the primary indications for this procedure:
The SPECT imaging procedure involves several key steps to ensure accurate and effective results. The following outlines the procedural steps:
After the SPECT imaging procedure, patients are typically monitored for a short period to ensure there are no immediate adverse reactions to the tracer. There are generally no specific post-procedure care requirements, and patients can usually resume normal activities shortly after the imaging is completed. The physician will review the images and provide a detailed report, which may include recommendations for further evaluation or treatment based on the findings. It is important for patients to follow up with their healthcare provider to discuss the results and any necessary next steps.
| Short Descr | BRAIN IMAGING (3D) | Medium Descr | BRAIN IMAGING TOMOGRAPHIC SPECT | Long Descr | Brain imaging, tomographic (SPECT) | 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 | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1E - Standard imaging - nuclear medicine | MUE | Not applicable/unspecified. | CCS Clinical Classification | 210 - Other radioisotope scan |
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| 2019-12-31 | Deleted | Code deleted, see 78803 |
| 2008-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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