CPT® Code 78215

The procedure described by CPT® Code 78215 involves the imaging of the liver and spleen using a technique known as scintigraphy. This imaging method utilizes a radiolabeled isotope tracer, specifically 99mTC-sulfur colloid, which is introduced into the patient's circulatory system. The primary purpose of this procedure is to assess the size and condition of the liver and spleen, allowing for the identification of various abnormalities such as tumors, abscesses, hematomas, cysts, and hypersplenism. Additionally, it can reveal changes in the radiocolloid distribution that may occur due to hepatic dysfunction or portal hypertension. The process begins with the establishment of an intravenous line through which the radiolabeled tracer is administered. Alternatively, a blood sample may be taken, and the tracer is attached to heat-destroyed red blood cells (RBCs) before being reintroduced into the body. Following a designated waiting period, the patient is positioned on an imaging table, and a gamma camera is placed over the upper abdomen to capture images. The scanning is conducted at specific intervals, during which the radioactive energy emitted from the liver and spleen is detected and converted into visual images. It is important to note that if vascular flow imaging is required, a different code, CPT® Code 78216, should be utilized. The liver and spleen are highly vascular organs, and any compromise in the blood vessels of one organ can affect the blood flow in the surrounding organs. After the imaging is completed, the physician interprets the scintigraphy results and generates a written report detailing the findings.