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A kidney function study, specifically a non-imaging radioisotopic study, is a diagnostic procedure that evaluates how well the kidneys are functioning. This study utilizes a scintillation counter along with a radiolabeled isotope tracer to assess the kidneys' ability to filter waste from the bloodstream, maintain chemical balance, and produce essential hormones. The kidneys play a crucial role in the body by filtering out toxins and excess substances, regulating blood pressure through the production of renin, stimulating red blood cell production via erythropoietin, and aiding in calcium absorption through calcitriol. During the procedure, an intravenous line is established to facilitate the injection of the radiolabeled isotope tracer directly into the patient's circulatory system. The patient is then positioned on a procedure table, where the scintillation counter is strategically focused on the kidneys. This counter measures the amount of the radiolabeled isotope that is filtered by the kidneys and subsequently excreted in the urine through the bladder. After the study is completed, the physician interprets the collected data and generates a comprehensive written report detailing the findings of the kidney function assessment.
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The kidney function study, non-imaging radioisotopic study, is indicated for various clinical scenarios where assessment of renal function is necessary. The following conditions may warrant this procedure:
The kidney function study involves several key procedural steps that ensure accurate assessment of renal function. The following steps outline the process:
Post-procedure care for the kidney function study is generally minimal, as it is a non-invasive procedure. Patients are typically monitored for a short period to ensure there are no immediate adverse reactions to the radiolabeled isotope tracer. It is important for patients to stay hydrated following the study to facilitate the excretion of the tracer from their system. The physician will review the findings from the study and discuss the results with the patient during a follow-up appointment, providing insights into kidney function and any necessary next steps in management or treatment.
| Short Descr | KIDNEY FUNCTION STUDY | Medium Descr | KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY | Long Descr | Kidney function study, non-imaging radioisotopic study | 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 | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1E - Standard imaging - nuclear medicine | MUE | 1 | CCS Clinical Classification | 209 - Radioisotope scan and function studies |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition | MG | The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional | MH | Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician |
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| Pre-1990 | Added | Code added. |
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