Transcription
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODENUCLEAR CARDIAC STRESS TEST-78452-93017-A9502- (X2)PATIENT PREP/DURATION- W/LEXISCAN (IF INDICATED)-J2785**USE CARDIAC STRESS FORM**NEXT GEN NOTES FROM GOSHENHEALTH PHYSICIANS**---BONE SCAN3-PHASE-78315-A9503SPECT/CT IF INDICATED-78999-BONE SCANLIMITED-78300-A9503SPECT/CT IF INDICATED-78999----NPO AFTER MIDNIGHT, EXCEPTH20IF ORDERED ASTREADMILL/EXERCISE,WITHHOLD ALL BETABLOCKERS 24 HRS. PRIOR (thisis not required for LEXI)WITHHOLD ALL NITRATES 24HRS. PRIORIMPORTANT: BRING BP MEDSOR OTHER MEDS WITH YOU IFHELD FOR EXAM.CAFFEINE-FREE MIN. 12 HRS.(THIS INCLUDES COFFEE, TEA,SODAS, CHOCOLATE, ENERGYSUPPLEMENTS/DRINKS, ANDEXCEDRIN.)WEAR COMFORTABLESHOES/CLOTHING, PREFERABLYWITH NO METAL ON SHIRTSHOWER, BUT NO LOTION OROILS ON ABDOMEN/CHESTBRING A SNACK OR MONEYFOR CAFETERIAEXAM TIME: 3.5-4.0 HRS.NO PREPGENERAL HYDRATION ISHELPFULEXAM TIME TOTAL: 4HRS.INITIAL: 15-30 MIN.CIRCULATION TIME: 3 HRS.PATIENT MAY LEAVE DURINGTHIS TIME.SCAN TIME: 15-45 MIN.NO PREPGENERAL HYDRATION ISHELPFULEXAM TIME TOTAL: 3.5- 4 HRS.INJECTION: 15 MIN.CIRCULATION TIME: 3 HRS.PATIENT MAY LEAVE DURINGTHIS TIME.SCAN TIME: 30 MIN.COMMON INDICATIONS-CHEST PAINABNORMAL EKGCHFCADPALPITATIONSSOBPRE-OPERATIVE EVAL.ANGINA PECTORISCABG STATUSACUTE MI-POSSIBLE FRACTURELOOSENING PROSTHESISOSTEOMYELITIS VS.CELLULITISEVALUATION OF REFLEXSYMPATHETICDYSTROPHY--BONE PAIN RELATED TOA FOCAL AREARevised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODEBONE SCANWHOLE BODY (TOTAL)-78306-A9503SPECT/CT IF INDICATED-78999-GASTRIC EMPTYING-78264-A9541-PATIENT PREP/DURATION-COMMON INDICATIONSNO PREPGENERAL HYDRATION ISHELPFUL- EXAM TIME TOTAL: 4 HRS.- INJECTION: 15 MIN.- CIRCULATION TIME: 3 HRS.PATIENT MAY LEAVE DURINGTHIS TIME.- SCAN TIME: 45 MIN.**ALL CANCER PATIENTS MUSTHAVE CLINIC NOTES.**FOR ALL PROSTATE CANCERPATIENTS, PULL PSA LAB VALUEHISTORY.----STRICT NPO AFTER MIDNIGHTDISCONTINUE SEDATIVES 12HR. PRIORBRING MEDICATION LISTCONTRAINDICATION: ALLERGYTO EGGSEXAM TIME: 4.25 HRS.--**USE GASTRIC FORMHIDA-78226-A9537--NO PREPEXAM TIME: 1.25 HRS.--STAGING, RE-STAGINGEVALUATIONS FOR ANYTYPE OF CANCERMETASTATIC DISEASEWIDESPREAD BONEPAINPAGET’S DISEASEGASTROPARESISWEIGHT LOSSDELAYED GASTRICEMPTYINGNAUSEA, VOMITING,EARLY SATIETY,BLOATING, UPPERABDOMINALDISCOMFORTEVALUATE MECHANICALOBSTRUCTIONEVALUATION OFCHOLECYSTITIS, GALLBLADDERINFLAMMATION, CYSTICOR COMMON BILEDUCTSEVALUATION OFOBSTRUCTIONEVALUATION AFTERGALLBLADDER SURGERYFOR SUSPECTEDLEAKAGE.Revised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODEPATIENT PREP/DURATIONHIDA W/EJECTION FRACTION-78227-A9537-J2805--STRICT NPO 6 HRS.NO NARCOTICS MINIMUM 6HRS. PRIOREXAM TIME: 2.5 HRS. COMMON INDICATIONS-PARATHYROID SCAN WITH SPECT/CT-78072-A9500--GI BLEED STUDY-78278-A9560UNLISTED SPECT/CT IF INDICATED-78999MUGA-78472-A9560-NO PREPPLEASE PROVIDE PTH AND CA LABRESULTSEXAM TIME: 2.5 HRS.-ELEVATED PTH AND CA LAB RESULTSDETECTION ANDLOCALIZATION OFPARATHROID CADETECTION ANDLOCALIZATION OFADENOMAS ORPARATHYROID TISSUE**PATIENT MUST HAVE PTH AND CA LAB VALUES WITHIN 30 DAYS.--NO PREPEXAM TIME: 1.5 HR. -DETECTION ANDLOCALIZATION OFACTIVE ABDOMINALBLEEDING SITES-NO PREPEXAM TIME: 1.25 HRS.-EVALUATE WALLMOTIONCALCULATION OF EF,VENTRICULAR VOLUME,CARDIAC OUTPUT ANDDIASTOLIC FUNCTIONASSESSMENT OF CHFEVALUATION PRE- ORPOST- CHEMO ORRADIATION THERAPYDYSPNEA--SENTINEL NODE FOR BREAST-38792-A9520-RUQ PAINABDOMINAL PAINEVALUATION OFCHOLEYCYSTITISEVALUATION OFCHOLELITHIASIS;OBSTRUCTIONCALCULATION OFEJECTION FRACTION-NPO FOR SURGERYEXAM TIME: 30 MINUTES**ORDER FROM DS SCHEDULINGSYSTEM. IT SHOULD STATE NMINJECTION, INDICATINGAPPROPRIATE SIDE.-LOCALIZATION OFLYMPH NODES FORSURGICALINTERVENTIONRevised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODEPATIENT PREP/DURATIONRENAL SCAN W/FLOW ANDFUNCTION-78707-A9562-RENAL SCAN W/FLOW, FUNCTION,AND WASHOUT (LASIX)-78708-A9562----COMMON INDICATIONSPATIENT SHOULD BE WELLHYDRATEDEXAM TIME: 30-45 MIN.-PATIENT SHOULD BE WELLHYDRATEDEXAM TIME: 45 MIN.-1 HR.---LYMPHOSCINTIGRAPHY WITHSPECT/CT-78195-A9520-78999--NPO FOR SURGERYEXAM TIME: 2 HRS.**ORDER COMES FROM DAY SURGERYSCHEDULING SYSTEM. IT SHOULDSTATE NUCLEAR MEDICINE INJECTIONWITH IMAGING ORLYMPHOSCINTIGRAPHY , INDICATINGLOCATION AND SIDE.--EVALUATION OF KIDNEYTRANSPLANTEVALUATION OF RENALTUBULAR FUNCTIONAND PERFUSIONEVALUATION OF RENALOBSTRUCTIVENEPHROPATHY AND/ORHYDRONEPHROSISEVALUATION OF KIDNEYTRANSPLANTEVALUATION OF RENALTUBULAR FUNCTIONAND PERFUSIONLOCALIZATION OFLYMPH NODEINVOLVEMENT FORSURGICALINTERVENTIONMELANOMAMECKEL’S DIVERTICULUM-78290-A9512--NPO MINIMUM 4 HRS.EXAM TIME: 1.25 HRS.-LOCALIZATION OFMECKEL’SDIVERTICULUMOCTREOSCAN SERIES WITHSPECT/CT-78804-A9572-78999--PATIENT SHOULD BE WELLHYDRATEDMILD LAXATIVE IF NEEDEDEXAM TIME:DAY1 INJECTION: 15 MIN.DAY 1 CIRCULATION: 4 HR.DAY 1 SCAN: 30 MIN.DAY 2 SCAN: 1.5 HR.-DETECTION ANDLOCALIZATION OFSOMATOSTATINRECEPTORS ONPRIMARY ANDMETASTATICNEUROENDOCRINETUMORS-Revised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODELUNG PERFUSION/QUANTIFICATION-78597-A9540-PATIENT PREP/DURATION-NO PREPSCAN TIME: 20 MINUTES**CHEST X-RAY REQUIRED WITHIN24 HR. OF PERFUSIONCOMMON INDICATIONS--LUNG 11 TAGGED WHITE BLOOD CELLSTUDYLIMITED-78805-A9547--NO PREPSCAN TIME: 30 MINUTES**CHEST X-RAY REQUIRED WITHIN24 HR. OF V/Q---NO PREPSEND ANY ASSOCIATED LABRESULTSANTIBIOTICS DECREASE LEUKOCYTECHEMOTAXIS-WITH SPECT/CT IF INDICATED-78999-IN-111 TAGGED WHITE BLOOD CELLSTUDYWHOLE BODY-78806-A9547WITH SPECT/CT IF INDICATED-78999-***MUST CONTACT NM COLLEAGUETO CHECK AVAILABILITY OF ISOTOPE IFNEXT DAY***MINIMUM 24 HR. SCAN: CAN ONLYSTART MONDAY-THURSDAY-NO PREPSEND ANY ASSOCIATED LABRESULTSANTIOBIOTICS DECREASELEUKOCYTE CHEMOTAXIS***MUST CONTACT NM COLLEAGUETO CHECK AVAILABILITY OF ISOTOPE IFNEXT DAY***MINIMUM 24 HR. SCAN: CAN ONLYSTART MONDAY-THURSDAY--EVALUATE HIGH-RISKPATIENTSPREOPERATIVELY FORSURGICAL CANDIDACYEVALUATION OFPULMONARYPERFUSIONEVALUATION OF PEEVALUATION OFPULMONARYPERFUSIONCPSOBLOW O2 SATURATIONDETECTION ANDLOCALIZATION OFACUTE AND CHRONICOSTEOMYELITIS OFFOCAL AREAACUTE FOCALABSCESSESPROSTHESIS REJECTIONFEVER OF UNKNOWNORIGINACUTE INFLAMMATORYDISEASEDIFFERENTIATION OFPULMONARYINFILTRATESRevised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDEPROCEDURE/CPT CODETHYROID UPTAKE ONLY(RAIU)-78012-A9516- X3PATIENT PREP/DURATION-DAY 1, TIME INITIAL: 15 MINUTESCIRCULATION: 4 HRSUPTAKE: 15 MINUTESDAY 2, UPTAKE TIME: 15 MINUTES**DO NOT CALL****NEED LABS**-FREE T3-FREE T4-TSH--THYROID CANCER ABLATION-78018- X2-78020-79005-A9517--CONTACT NUCLEAR MEDICINE @-2605THYROID CA EVALUATION-78018-78020--CONTACT NUCLEAR MEDICINE @-2605THYROID UPTAKE AND SCAN(RAIU DIAGNOSTIC)-78014-A9516- X3-DAY 1 EXAM TIME INITIAL: 15MINUTESCIRCULATION: 4 HRSUPTAKE AND SCAN: 30 MIN.DAY 2 UPTAKE EXAM TIME: 15MIN.-COMMON INDICATIONS**DO NOT CALL****NEED LABS**-FREE T3-FREE T4TSHEVALUATION OFHYPERTHYROIDISM ORHYPOTHYROIDISMTOXIC GOITERTHYROIDITISABN THYROID SERUMLAB RESULTSDIFFERENTIATION OFBENIGN VS. MALIGNANTTHYROID NODULESTHYROID CANCER----THYROID CANCEREVALUATION OFTHYROID ANATOMYEVALUATION OFHYPERTHYROIDISM ORHYPOTHYROIDISMTOXIC GOITERTHYROIDITISABN THYROID SERUMLAB RESULTSDIFFERENTIATION OFBENIGN VS. MALIGNANTTHYROID NODULES**USE THYROID FORMS (2)Revised 08/2019
NUCLEAR MEDICINE PROCEDURE QUICK GUIDESPECIAL CONSIDERATIONS**CHECK SCHEDULE AT 12 PM OR AFTER. ALL NEXT DAY ADD-ONS,NEXT DAY CANCELLATIONS, AND NEXT DAY TIME CHANGES MUST BECONVEYED TO NUCLEAR MEDICINE COORDINATOR ORTECHNOLOGIST, SO THAT ISOTOPES MAY BE ORDERED ORCANCELLED.**I-123 UPTAKE AND SCANS REQUIRE FREE T3, FREE T4, AND TSH LABVALUES, WITHIN 30 DAYS. PLEASE OBTAIN FROM EMR ORPHYSICIAN’S OFFICE.**PARATHYROID SCANS REQUIRE CA AND PTH LAB VALUES, WITHIN30 DAYS. PLEASE OBTAIN FROM EMR OR PHYSICIAN’S OFFICE.**CLINIC NOTES SHOULD BE PULLED ON ALL CANCER PATIENTS**PSA LAB VALUE HISTORY SHOULD BE PULLED ON ALL PROSTATECANCER PATIENTS**ALL THERAPY PROCEDURES MUST BE SCHEDULED DIRECTLY WITHTECHNOLOGISTS.Revised 08/2019
gi bleed study -78278- -a9560- unlisted spect/ct if indicated -78999- - no prep - exam time: 1.5 hr. - detection and localization of active abdominal bleeding sites muga -78472- -a9560- - no prep - exam time: 1.25 hrs. - evaluate wall motion - calculation of ef,
