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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; tomographic (SPECT)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Radiopharmaceutical localization of inflammatory processes using CPT® Code 78807 involves the application of single photon emission computed tomography (SPECT) in conjunction with a radiolabeled isotope tracer. This advanced imaging technique is specifically designed to identify and localize areas of inflammation within the body. The radiolabeled isotope tracer is engineered to bind selectively to inflammatory cells, allowing for precise targeting of regions affected by inflammation or infection, whether acute or chronic. The procedure begins with the establishment of an intravenous line through which the radiolabeled tracer is administered directly into the patient's circulatory system. Alternatively, a blood sample may be drawn, and the white blood cells are separated via centrifugation, tagged with the isotope tracer, and subsequently reintroduced into the patient. Once the tracer is in circulation, it migrates to sites of inflammation, enabling visualization. During the imaging process, the patient is positioned on an imaging table while one or more gamma cameras rotate around the body, capturing a three-dimensional view of the targeted area. The emitted radioactive energy is then converted into detailed images, which are processed and displayed in tomographic sections or as a cinematic sequence. The physician interprets these images and compiles a comprehensive written report detailing the findings of the study, which is crucial for further clinical decision-making.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 78807 is indicated for the localization of inflammatory processes within the body. This imaging technique is particularly useful in the following scenarios:

  • Detection of Inflammation The procedure is performed to identify areas of inflammation that may not be easily detectable through conventional imaging methods.
  • Assessment of Infection It is utilized to localize acute or chronic infections, aiding in the diagnosis and management of infectious diseases.
  • Evaluation of Inflammatory Disorders The procedure can assist in evaluating various inflammatory disorders, providing critical information for treatment planning.

2. Procedure

The procedure for CPT® Code 78807 involves several key steps that ensure accurate localization of inflammatory processes:

  • Step 1: Establishing Intravenous Access An intravenous line is established to facilitate the administration of the radiolabeled isotope tracer directly into the patient's circulatory system. This step is crucial for ensuring that the tracer can circulate effectively throughout the body.
  • Step 2: Administration of the Radiolabeled Isotope Tracer The radiolabeled isotope tracer is injected into the bloodstream. 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 and re-injected into the patient. This method allows for targeted localization of the tracer to areas of inflammation.
  • Step 3: Imaging Process Once the tracer is administered, the patient is positioned on the imaging table. One or more gamma cameras are then rotated around the body to capture images. This rotation allows for the acquisition of a three-dimensional view of the area of interest, enhancing the detail and accuracy of the imaging.
  • Step 4: Image Processing and Interpretation The radioactive energy emitted from the tracer is detected by the gamma cameras and converted into images. These images are processed and downloaded to a computer, where they can be viewed in tomographic sections or as a cinematic display. The physician then interprets the images and compiles a written report detailing the findings of the study.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 78807, patients may be monitored for any immediate reactions to the radiolabeled tracer. There are typically no specific post-procedure care requirements, but patients may be advised to drink plenty of fluids to help flush the tracer from their system. The physician will review the findings from the imaging study and discuss the results with the patient, which may influence further diagnostic or therapeutic decisions. Follow-up appointments may be scheduled to assess the patient's condition based on the findings of the imaging study.

Short Descr NUCLEAR LOCALIZATION/ABSCESS
Medium Descr RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT
Long Descr Radiopharmaceutical localization of inflammatory process; 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) 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
Date
Action
Notes
2019-12-31 Deleted Code deleted, see 78300, 78305, 78306, 78315, 78800, 78801, 78802, 78803, 78830, 78831, 78832
2001-01-01 Changed Code description changed.
1994-01-01 Added First appearance in code book in 1994.
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