Question:

My nuclear medicine tech is being asked to do a procedure for a sestamibi injection without any parathyroid imaging. The intent is to locate the parathyroid prior to surgery so it is similar to a sentinel node injection. Is there a diagnostic nuclear isotope injection code, or should we use an unlisted procedure code?

Answer:

The American Medical Association created the following code for exactly that situation:

78808 Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (e.g., parathyroid adenoma)

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