2025 HCPCS code A9561
Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 mCi.
Medical necessity must be established for each bone scan performed with Technetium Tc-99m oxidronate. The documentation should clearly justify the need for the scan based on the patient's symptoms, medical history, and suspected diagnosis.
The physician administers Technetium Tc-99m oxidronate intravenously. Oxidronate accumulates in areas of bone mineralization, allowing assessment of bone growth and detection of conditions like bone metastases, Paget's disease, arthritis, and osteomyelitis. Technetium's gamma emissions are detected by gamma cameras for imaging.
In simple words: This is a radioactive material used for bone scans to check for problems like arthritis, infections, or cancer spread to the bones. It's given through an injection, and a special camera takes pictures of where it collects in your bones.
Technetium Tc-99m oxidronate is used for diagnostic imaging of the skeletal system to assess bone development and formation. This code covers a single study dose of up to 30 millicuries (mCi).
Example 1: A 65-year-old patient with suspected bone metastases from prostate cancer undergoes a bone scan using Technetium Tc-99m oxidronate to confirm the diagnosis and determine the extent of the disease., A 10-year-old child with unexplained bone pain and growth abnormalities receives a Technetium Tc-99m oxidronate bone scan to assess bone development and rule out any underlying conditions., A 50-year-old patient with a history of Paget's disease undergoes regular bone scans using Technetium Tc-99m oxidronate to monitor disease progression and evaluate treatment effectiveness.
Documentation should include the patient's medical history, the reason for the bone scan, the dosage of Technetium Tc-99m oxidronate administered, the interpretation of the scan results, and any relevant clinical findings.
- Specialties:Nuclear Medicine, Radiology, Oncology, Orthopedics, Endocrinology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Independent Clinic, Physician's Office, Mobile Unit