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Code deleted, see 78300, 78305, 78306, 78315, 78800, 78801, 78802, 78803, 78830, 78831, 78832

Official Description

Radiopharmaceutical localization of inflammatory process; whole body

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 78806 refers to a diagnostic imaging procedure known as radiopharmaceutical localization of an inflammatory process, specifically performed on a whole-body scale. This procedure utilizes scintigraphy, which is a type of nuclear imaging that employs a radiolabeled isotope tracer. The primary purpose of this imaging technique is to identify and localize areas of inflammation within the body. The radiolabeled isotope tracer is engineered to bind to inflammatory cells, allowing for precise targeting of regions affected by inflammation or infection, whether acute or chronic. During the procedure, an intravenous line is established to facilitate the direct injection of the tracer into the patient's circulatory system. Alternatively, a blood sample may be drawn, and the white blood cells are separated through centrifugation, tagged with the isotope tracer, and subsequently reintroduced into the patient. Once the tracer is administered, it circulates throughout the body, accumulating in areas of inflammation. The patient is then positioned on an imaging table, and a gamma camera is employed to capture images of the body. Scanning occurs at predetermined intervals, and the emitted radioactive energy is converted into visual images that can be analyzed. It is important to note that CPT® Code 78805 is designated for studies focused on a limited area, while CPT® Code 78806 is specifically used for comprehensive whole-body scans. Following the imaging, the physician interprets the results and generates a written report detailing the findings of the study.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 78806 is indicated for the localization of inflammatory processes throughout the entire body. This imaging technique is particularly useful in the following scenarios:

  • Detection of Inflammation This procedure is performed to identify areas of inflammation that may not be easily detectable through other imaging modalities.
  • Assessment of Infection It is utilized to locate acute or chronic infections within the body, aiding in the diagnosis and management of infectious diseases.
  • Evaluation of Autoimmune Disorders The procedure can assist in evaluating conditions characterized by systemic inflammation, such as autoimmune disorders.

2. Procedure

The procedure for CPT® Code 78806 involves several key steps that ensure accurate localization of inflammatory processes throughout the body:

  • Step 1: Establishing an Intravenous Line The first step involves the establishment of an intravenous (IV) line, which is crucial for the administration of the radiolabeled isotope tracer. This allows for direct access to the circulatory system, facilitating the tracer's distribution throughout the body.
  • Step 2: Administration of the Radiolabeled Isotope Tracer The radiolabeled isotope tracer is then injected into the patient's bloodstream through the IV line. Alternatively, a blood sample may be drawn, and the white blood cells are separated using centrifugation. These cells are then tagged with the isotope tracer before being reintroduced into the patient. This method enhances the specificity of the tracer to inflammatory cells.
  • Step 3: Positioning the Patient After the tracer has been administered, the patient is positioned on the imaging table. Proper positioning is essential to ensure that the gamma camera can effectively capture images of the areas of interest.
  • Step 4: Scanning with the Gamma Camera The gamma camera is centered over the area to be studied, and scanning is performed at specific intervals. During this phase, the camera detects the radioactive energy emitted by the tracer as it accumulates in areas of inflammation.
  • Step 5: Image Conversion and Interpretation The emitted radioactive energy is converted into images that represent the distribution of the tracer within the body. These images are then analyzed by the physician, who interprets the findings and prepares a written report detailing the results of the study.

3. Post-Procedure

Post-procedure care for patients undergoing CPT® Code 78806 typically involves monitoring for any immediate reactions to the radiopharmaceutical. Patients may be advised to drink plenty of fluids to help flush the tracer from their system. Additionally, the physician will review the findings from the imaging study and discuss the results with the patient, including any necessary follow-up actions or further diagnostic steps based on the interpretation of the images obtained.

Short Descr ABSCESS IMAGING WHOLE BODY
Medium Descr RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY
Long Descr Radiopharmaceutical localization of inflammatory process; whole body
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) 2 - Standard 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 209 - Radioisotope scan and function studies
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Notes
2019-12-31 Deleted Code deleted, see 78300, 78305, 78306, 78315, 78800, 78801, 78802, 78803, 78830, 78831, 78832
2011-01-01 Changed Short description changed.
2001-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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