What you can expect
Self-care:
You may need a HIDA scan if you have symptoms of gallbladder or liver problems. Examples include abdominal pain, nausea, vomiting, fever, or yellow skin or eyes. You may also need HIDA scan before or after gallbladder or liver surgery. How do I prepare for a HIDA scan?
What Is a Hepatobiliary Iminodiacetic Acid (HIDA) Scan?
Our office has been reporting CPT code 78227, Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed, for the HIDA scan.
HIDA scan is unable to demonstrate the complications of acute cholecystitis. Although the CT scan is readily available, the radiation of the CT scan should also be taken into account, especially in young patients. HIDA scan and CT can be used for the evaluation of sonographically equivocal cases.
78226: Hepatobiliary system imaging, including gallbladder when present. 78227: Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed.
HEPATOBILIARY (HIDA) SCAN. WITH/WITHOUT CCK. WHAT IS A HEPATOBILIARY SCAN? Hepatobiliary imaging is a type of nuclear medicine imaging that helps evaluate the liver, gallbladder and the ducts that are part of the biliary system. This test will show whether there are any blockages in the gallbladder or biliary duct.
Historically, ultrasound is considered the study of choice for diagnosing cholelithiasis, and HIDA (hepatobiliary iminodiacetic acid) scan is the study of choice for diagnosing acute cholecystitis, given the superior sensitivity and specificity of each test for its respective diagnosis [6].
A HIDA scan is a type of imaging study called a nuclear medicine scan. This means the HIDA scan uses a radioactive chemical or tracer that helps highlight certain organs on the scan.
CPT code 75635 describes computed tomographic angiography of the abdominal aorta and bilateral iliofemoral lower extremity runoff. This code includes the services described by CPT codes 73706 (Computed tomographic angiography, lower extremity...
CPT® 76705, Under Diagnostic Ultrasound Procedures of the Abdomen and Retroperitoneum.
Code 78264 is for a regular gastric emptying study. Code 78265 includes small bowel transit, and code 78266 includes small bowel and colon transit over multiple days.
Your doctor may order a HIDA scan with CCK (cholecystokinin), a hormone that causes your gallbladder to empty and release bile. If this is the case, the imaging technician will give you this medication by mouth or through a vein. They will take images of your gallbladder before and after giving you CCK.
Magnetic resonance cholangiopancreatography can be used to determine the cause and location of biliary obstruction but is limited in the detection of small stones and the evaluation of the biliary tract near the ampulla. HIDA is used to evaluate for cholecystitis, biliary obstruction, and bile leaks.
With a normal ultrasound, a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function.
a HIDA scan (uses radioactive material) can measure gallbladder emptying while an ERCP test uses an endoscope to place dye in the ducts of the pancreas, gallbladder and liver, and. Magnetic resonance imaging (MRI) is sometimes used to detail the organ structures (liver, gallbladder, and pancreas).
The whole scan may last up to 60 minutes as the tracer passes through your liver and into your gallbladder and small intestine. Several more pictures, each lasting a few minutes, may be taken over the next 2 to 4 hours. Each picture will take only a few minutes, but you will have to lie still for the whole test.
The scan is ordered by a physician, often a gastroenterologist, a doctor who specializes in diagnosing and treating disorders of the digestive system. HIDA scan is performed by a nuclear medicine technologist, a person who specializes in administering and caring for people undergoing nuclear medicine tests.
A HIDA scan (hepatobiliary iminodiacetic acid scan) uses small amounts of radioactive substances called radiopharmaceuticals or radiotracers that a healthcare provider typically injects into your bloodstream. The radiotracer then travels through your liver and into your gallbladder and your small intestines.
The procedure is same which includes injecting tracer element to vein and evaluating images on computer screen. This procedure is performed under the CPT code 78226.
HIDA is abbreviated as Hepatobiliary IminoDiacetic Acid. HIDA scan is a diagnostic procedure performed for the evaluation of gall bladder, liver and bile ducts. The other names of HIDA scan are Hepatobiliary scintigraphy and cholescintigraphy. In this procedure, a radioactive tracer is injected inside the vein of arm. This tracer moves with the blood throughout body and reaches to liver and bile duct. This tracer is scanned with a nuclear medicine tracer having gamma camera. The computer images are clear because of the tracer element used. It can also be performed with ultrasound and X-ray.
The procedure involves a tracer injecting in the arm of patient and nuclear medicine tracer shows the imaging on computer screen. The CPT code is 78226.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R93.2. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code R93.2 and a single ICD9 code, 793.3 is an approximate match for comparison and conversion purposes.