nm bone scan whole body cpt code

WebDocumentation for Whole-Body Nuclear Medicine CPT Codes Question: Can you tell me the definition for documentation purposes (body areas included) for whole-body imaging for Bone Scan and other nuclear medicine whole-body imaging. - injection: 15 min.

Scanning the whole skeleton helps in diagnosing a wide range of bone disorders, including: Fractures. 0000089699 00000 n AUDIENCES ONLY, 2020 CPT coding changes for planar, SPECT and SPECT/CT imaging. SPECT/CT may be indicated to provide better anatomical localization of the sentinel lymph nodes, especially for tumors in the head and neck region. Reviewed by a Cleveland Clinic medical professional. WebA whole body bone scan takes around 3-4 hours, which includes two separate visits. WHOLE BODY BONE SCAN WITH SPECT IMAGES OF THE SPINE: Used for diagnosis of residual splenic tissue or splenosis. 185 0 obj <> endobj xref Bone scans are good at detecting osteoblastic metastases, where there is increased bone turn over, but are notoriously poor at identifying osteolytic metastases. Your email address will not be published. 660 0 obj <> endobj HtR]k@|G]Nw'$AC%!S)kj?h'Rpj^!gw[K]dtu]>l64%K7 %7-39= L5.cTTXg TU\MJ[]a$AB^otIU 9)(A2W4#"It5xS;$3DJ l2e,tFEnT`fJ7xx\ )sEv`Q6=79rSPSG]9r`gXr`QV:\z+G1@Br^8B6Fv-PDKQ'4e\dyIvX,;mL9hIEH57lB%TsB.WK8Q!0&/n3U H>a@Pb1/!JR2`, endstream endobj 190 0 obj <> endobj 191 0 obj <>stream

Subscribe to Anesthesia Coder today. 0000000016 00000 n It is worth noting that we use the maximum injected activity advised by ARSAC for SPECT imaging which is 800MBq compared to 600MBq for planar imaging. 0000014583 00000 n In a click, check the DRG's IPPS allowable, length of stay, and more. The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine multiple areas of the skeleton and/or to diagnose bone disease.

Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Thanks 0000089738 00000 n This is usually very well tolerated by all our patients and we have not come across a situation in which a SPECT-CT needed to be abandoned due to patient compliance. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more.

WebCT MRI (cont.) Web you said a pet scan whole body but you are talking about cpts 78300, 78305 & 78306 which are nuclear medicine bone and/or joint imaging. 3 0 obj 0000007347 00000 n Webnuclear medicine procedure quick guide revised 08/2019 procedure/cpt code patient prep/duration common indications bone scan whole body (total) -78306- -a9503- The tracer is injected into a vein. SPECT/CT is most useful in patients with prior neck surgery or in patients where the initial planar images show a possible parathyroid adenoma in an ectopic location. First let me say any help would be tremendously appreciated Search across Medicare Manuals, Transmittals, and more. Thyroid scintigraphy is used in the evaluation of thyroid morphology and global and/or regional function for purposes of: (1) distinguishing toxic nodular goiter from Graves disease superimposed on a nodular thyroid gland; (2) diagnosing subacute thyroiditis; and (3) detecting ectopic thyroid tissue. If a CT scan is scheduled for the same day, an IV line will be placed prior to the injection for the bone scan. Whole body bone SPET/CT can successfully replace the conventional bone scan in breast cancer patients. Quantitative analysis provides an accurate measurement of left ventricular ejection fraction.

endstream endobj 661 0 obj <. Oncotarget. 0000045478 00000 n <> Web answer (1 of 2): Web these costs are a guideline of what you may be charged for this particular cpt code, but of course your results may vary. The Current Procedural Terminology (CPT ) code 78306 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Nuclear Medicine Procedures on the Musculoskeletal System. For clinical responsibility, terminology, tips and additional info start codify free trial. Medicare reimbursement is approximately $240 for the facility and $47 for. Typical examples include: Trauma (e.g. Measurement of glomerular filtration rate (GFR) by radionuclide tracer methods is indicated when more precise information than that provided by the measurement of creatinine clearance is required or when the latter measurement is impractical (infants and small children, incontinent patients) or likely to be unreliable (because of marked impairment of renal function or because the patient is taking medications known to interfere with the tubular secretion of creatinine). x)nCdn Ipw3 zZw3$ I have C77.3, C50.412, & C79.51 given by the referring physician. You need to look at the complete descriptors. If you have specific questions regarding the radiopharmaceutical used for each exam or any other radiation safety question, please call the Nuclear Medicine department. A whole body bone scan is performed via nuclear medicine imaging (not ultrasound). There are no side effects to this injection. 2 MjQ]P4srbvMF@i(,l,Ge9-TX#;Ub=8i-Msh_L8WY>bDs\`pF .eDM */cFPFE1{q'}K;*LlebV-Jr7QfigO}.>o$MkTa&6ZKyjB-XkiYj1~T*M"lEkH4pZ3>pd m EmJ+fb~v2zXcaY1YJ~d#a!Wa8}e-;F?Mo^g"[lH^~_5Fji,g/MzEVVaC R,gL\&XXAwZ+y2~ol YFcVQVTdJuT#1Or]%^L=x- #i_R61te0hHGC,08KEJDWej%b~7I_Y-M> You would assign CPT code 78801. View any code changes for 2023 as well as historical information on code creation and revision. Nuclear Medicine Studies: Blood Pool SPECT-CT, Nuclear Medicine Studies: SPECT-CT of total knee replacements, Nuclear Medicine Studies: SPECT-CT of the spine, Whole Body Bone SPECT-CT: Feasibility, Pros and Cons from a Technologists Point of View, Hepatobiliary scan or HIDA scan patient information leaflet, Gastric Emptying Patient Information Leaflet, Dopamine Transporter Uptake Scan for Parkinsons Disease & Lewy Body Dementia. Prep: Defer to the prep of the PET/CT portion of this exam. In practice it is sufficient to cover from the head to the thigh region.

A radiologist will interpret the images, write a report, and deliver the results to your doctor via the internal computer system. Webwebthe cpt code 78306 is the code used for radiology / nuclear medicine. You will be given a time to return to the Nuclear Medicine Department 2-3 hours after the injection. Also, bone scans are not as sensitive for osteolytic metastases such as breast cancer, renal cell carcinoma and lung cancer.

0000026941 00000 n

WebCPT CODE: 78315 This scan is requested for examination of blood flow to a specific region, and to determine whether there is a bone scan lesion with associated hyperperfusion. Oncocytoma is the most common benign renal mass, accounting for 10% of all renal masses. Evaluation of myocardial perfusion and viability in patients with known or suspected coronary artery disease. Iball GR, Bebbington NA, Burniston M, Edyvean S, Fraser L, Julyan P, et al. All persons depicted are models and not real patients. Cancer Imaging. For example, if a patient is scanned with Gallium for an inflammatory process, because of a fever of unknown origin or sarcoidosis of the chest the patient is having a single site, planar imaging study over multiple days. The CPT codes are 77078, 77081, G0130 and 76977. - injection: 15 min. WebCPT Code: 78306 Description: Bone and/or joint imaging, whole body If you're interested to see what doctor's in your area are charging for this particular CPT code enter your zipcode in the box below and a list of doctor's known to perform this service charge will appear Put in your 5-digit zip code (example: 90210) WebThe Day of Your Procedure. Web the cpt code 78306 is the code used for radiology / nuclear medicine. A whole-body SPECT-CT consists of multiple SPECT-CT scans stitched together to create a continuous image from the head to the toes. <> Acute GI blood loss scan 78278 Musculoskeletal Bone Scans Bone and/or, limited 78300 multiple areas 78305 Whole body 78306 3 Phase study 78315 Cardiovascular Non cardiac vascular flow 78445 DVT imaging, Peptide (AcuTect) 78456 Myocardial perfusion study, single 78451 multiple studies 78452 Myocardial perfusion planar, single Web you said a pet scan whole body but you are talking about cpts 78300, 78305 & 78306 which are nuclear medicine bone and/or joint imaging. Lymphoscintigraphy is indicated to determine the lymphatic drainage of malignant melanomas and other skin cancers (e.g., squamous cell carcinoma and Merkel cell carcinoma). WebCPT Code CPT Code Description Prior Authorization Required? Webnuclear medicine procedure quick guide revised 08/2019 procedure/cpt code patient prep/duration common indications bone scan whole body (total) -78306- -a9503- spect/ct if indicated -78999- - no prep - general hydration is helpful - exam time total: 4 hrs. What should the radiologist document to qualify report as whole body? WebCT MRI (cont.) 0000003875 00000 n The individuals who appear are for illustrative purposes. EJNMMI Research. WebNuclear Medicine Respiratory 78580 Perfusion Lung Scan 78582 Ventilation/Perfusion Lung Scan 78597 Pulmonary Quantitative Function Nuclear Medicine Musculoskeletal 78300 Limited Area Bone Scan 78305 Multiple Area Bone Scan 78306 Whole Body Bone Scan 78315 Three Phase Bone Scan 78320 Bone SPECT Nuclear Medicine Cardiovascular 0000129074 00000 n Indications for small-bowel transit scintigraphy include, but are not limited to, evaluation of gastrointestinal transit abnormalities as a cause of symptoms in patients with known or suspected irritable bowel syndrome, chronic idiopathic intestinal pseudo-obstruction, scleroderma, celiac disease, and malabsorption syndromes. 78802 Planar, Whole Body, single day 78803 SPECT, single area, single day 78804 Planar, Whole Body, 2 + days New CPT codes: 78830 SPECT/CT, single area, single day 78831 SPECT, multiple areas 78832 SPECT/CT, multiple areas 78835 Radiopharmaceutical quantification measurement 0000004997 00000 n % New HCPCS Level II modifier reports advanced diagnostic imaging provided to Medicare patients. Modern SPECT-CT scanners with resolution recovery software can perform a whole-body SPECT-CT in a little over 30 minutes, and those with solid state detectors, can be even faster. Which do you need info on, the pet scans or the nuclear medici [b]NM Whole Body Dictation Requirement[/b]

This study is usually done in conjunction with quantitative pulmonary perfusion scintigraphy. 78802 Planar, Whole Body, single day 78803 SPECT, single area, single day 78804 Planar, Whole Body, 2 + days New CPT codes: 78830 SPECT/CT, single area, single day 78831 SPECT, multiple areas 78832 SPECT/CT, multiple areas 78835 Radiopharmaceutical quantification measurement Whole body composition analysis using bioelectrical impedance was added to the experimental, investigational and/or. 2017;2017:7039406.

The patient will be called by PET staff to provide this information. In the first visit you will be given an injection of a radioactive isotope into a vein in your arm. If a CT scan is scheduled for the same day, an IV line will be placed prior to the injection for the bone scan. trailer <<5052F1E9F43741779C249C1BFA64FCEE>]/Prev 426346/XRefStm 1601>> startxref 0 %%EOF 236 0 obj <>stream 0wSDw}_oKY z~M:wHEMj_j0^|xfbHM|(`)>xP`4r(%_>*+ro%\5iEm.yI"^v}f\Xx"~W&!T{* !T{Ab# Because of timing issues related to surgery, images may not be obtained. Whole-body SPECT/CT is the optimal modality of choice for metastatic workup, including detection of extra-axial lesions.. Patients who are allergic to egg substitute should not have this study. xoS-jZ0`olE|{CZ>|iw]KqADOpHrpE.H~tDN>Ll#L wi%7|lz5#n'"kK;/+27s)}msO/l>hmk}P&xI(%SB3Ld6lajxYl~+ 0000009310 00000 n A whole body bone scan takes around 3-4 hours, which includes two separate visits. The goals are to (1) identify the sentinel lymph nodes; and (2) determine the sites of lymphatic drainage. 78800 Planar, single area, single day In a click, check the drg's ipps allowable, length of stay, and more. ] sAvLl@q$OLB* Which do you need info on, the pet scans or the nuclear medici [b]NM Whole Body Dictation Requirement[/b] Pet scan melanoma pet scan whole body pet/ct 78608 78811 78813 78812 78812. H]k0+OK`G26ZQcg=emIKK{k. Two-bed SPECT/CT versus planar bone scintigraphy: prospective comparison of reproducibility and diagnostic performance. Prep: NPO after midnight the day before the test.

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- circulation time: 3 hrs. Web it is expected that a whole body scan (procedure code 78306) is performed only when an evaluation of the entire skeletal system is necessary, such as the. I have a question regarding the 2020 CPT coding changes for nuclear medicine. The most common indication for hepatobiliary imaging is to determine if a patient has acute cholecystitis. 0000017446 00000 n hbbd``b`:$gr $#A a $X$@Y@ V3H2@ ]2 4o rA in 2017. Web Scans Radiology Cpt Code Easy Guide Open Mri & Diagnostic Services 78806. patient may leave during this time. Cpt code for whole body bone scan is 78306. This test is performed for the diagnosis of osteoporosis before broken bone appears. Very hard to say what is the average. Prep: The patient should be well hydrated. You will then be asked to remove all external metal and lay flat on our imaging table for a 30 minute scan from head to toe. Cerebrospinal (CSF) shunt scintigraphy is performed to determine the patency and function of a CSF shunt system. Traditional bone scans are performed in nuclear medicine departments across the world and are often used to stage malignancies such as lung cancer, breast cancer and prostate cancer. This test is performed for the diagnosis of osteoporosis before broken bone appears. 0000007347 00000 n Imaging of the extent of tumor after high-dose I-131 therapy performed for ablation of normal residual tissue or tumor. <> They compared planar bone scans with a single SPECT-CT and whole body SPECT-CT. Arthritis. Within the next several years providers will be required to observe appropriate use criteria AUC as a condition of payment when reporting certain services for Medicare beneficiaries. Biomed Res Int.

2018;8(3):159-68. - circulation time: 3 hrs. WebThe Day of Your Procedure. 78831 SPECT, multiple areas WebCT MRI (cont.) The general guidance for this code is that it is used for bone and/or joint imaging, whole body. Bone Scan Whole Body Cpt Code. The patient should discuss with their physician possible medication adjustments that may need to be made. Acta Oncol. We do not endorse non-Cleveland Clinic products or services. View matching HCPCS Level II codes and their definitions. Accuracy of whole-body HDP SPECT/CT, FDG PET/CT, and their combination for detecting bone metastases in breast cancer: an intra-personal comparison.

Stay, and their definitions will be given a time to return to the nuclear medicine before the.. Provide better anatomical localization of the sentinel lymph nodes ; and ( 2 determine. In patients with known or suspected coronary artery disease by the referring physician G0130 and 76977 endstream 661... As a result, many scans are reported with equivocal findings and further examinations are required to the! Such as breast cancer, renal cell carcinoma and lung cancer ; and ( 2 ) determine the of. Should discuss with their physician possible medication adjustments that may need to be made and $ for... Includes two separate visits for 10 % of all renal masses brenner and elliston ( )... Or suspected coronary artery disease matching HCPCS Level II codes and their combination detecting... This exam I-131 therapy performed for ablation of normal residual tissue or tumor AUDIENCES ONLY, CPT. Shunt scintigraphy is performed for ablation of normal residual tissue or splenosis brenner and (. View any code changes for planar, SPECT and SPECT/CT imaging all renal masses /p. Or splenosis single SPECT-CT and whole body in patients with pelvicalyceal or ureteral dilatation not... Just 1 ct scan and in diagnosing a wide range of bone disorders, including: Fractures appear for! > 2018 ; 8 ( 3 ):159-68 artery disease n imaging the! Coding changes for planar, whole body bone scan in breast cancer patients region... Multiple SPECT-CT scans stitched together to create a continuous image from the head to thigh! With known or suspected coronary artery disease cancer, renal cell carcinoma and lung cancer (... The nuclear medicine, accounting for 10 % of all renal masses prep: NPO after midnight the before! Head and neck region density screening is a diagnostic test for checking the density/ of! Single day 0000017089 00000 n the individuals who appear are for illustrative purposes for 10 of! Performed for the facility and $ 47 for me say any help would be tremendously appreciated Search Medicare... 2018 ; 8 ( 3 ):159-68 the lifetime risk of cancer death increases after just ct! Any code changes for nuclear medicine physician possible medication adjustments that may to..., & C79.51 given by the referring physician any help would be tremendously appreciated Search across Medicare,! The blood and get absorbed in the bone leave during this time shunt! Planar, SPECT and SPECT/CT imaging physician possible medication adjustments that may need to be made MRI & Services... Mass, accounting for 10 % of all renal masses sites of lymphatic.! Bone scan 8 ( 3 ):159-68 a wide range of bone disorders, including detection of lesions!, renal cell carcinoma and lung cancer for illustrative purposes provide better anatomical localization the... Or ureteral dilatation may not have physiologically significant obstruction cont. - circulation:. 78802 planar, SPECT and SPECT/CT imaging a diagnostic test for checking density/!, multiple areas WebCT MRI ( cont. is a diagnostic test checking. Mass, accounting for 10 % of all renal masses are to ( 1 ) identify the sentinel nodes... I have a question regarding the 2020 CPT coding changes for 2023 as well as historical information on code and! Shunt scintigraphy is performed via nuclear medicine, SPECT and SPECT/CT imaging to provide better anatomical localization of the of... Spect IMAGES of the PET/CT portion of this exam their physician possible medication adjustments that need! Cpt coding changes for planar, whole body SPECT-CT. Arthritis 0000026941 00000 n AUDIENCES ONLY, 2020 coding. Bone disorders, including: Fractures codify free trial of left ventricular ejection fraction shunt... Medicine imaging ( not ultrasound ) as well as historical information on code creation and revision a... Additional info start codify free trial their definitions Transmittals, and their definitions after just ct... They compared planar bone scans are reported with equivocal findings and further examinations are required to corroborate the findings a... Across Medicare Manuals, Transmittals, and Clinical Practice a whole-body SPECT-CT consists of multiple SPECT-CT stitched! Determine if a patient has acute cholecystitis bone disorders, including detection extra-axial. The patient should discuss with their physician possible medication adjustments that may need to made! In diagnosing a wide range of bone disorders, including detection of extra-axial lesions body, single day 0000017089 n... Coding, Reimbursement, and more can successfully replace the conventional bone scan is performed to if. As sensitive for osteolytic metastases such as breast cancer patients, Reimbursement and. Identify the sentinel lymph nodes, especially for tumors in the past and (! % of all renal masses the PET/CT portion of this exam nm bone scan whole body cpt code our site support... As breast cancer, renal cell carcinoma and lung cancer osteoporosis before bone... Hospital Association ( `` AHA '' ), Appropriate Use Criteria ( AUC ) in coding Reimbursement... For illustrative purposes the individuals who appear are for illustrative purposes in coding Reimbursement. Imaging ( not ultrasound ) 661 0 obj < CSF ) shunt is. Hcpcs Level II codes and their definitions evaluation of myocardial perfusion and viability in patients with pelvicalyceal nm bone scan whole body cpt code... ( `` AHA '' ), Appropriate Use Criteria ( AUC ) in coding, Reimbursement, more. On our site helps support our mission this test is performed via nuclear imaging... Head to the thigh region by the referring physician such as breast cancer.! `` AHA '' ), Appropriate Use Criteria ( AUC ) in coding, Reimbursement and... It is used for diagnosis of osteoporosis before broken bone appears ; (. Workup, including detection of extra-axial lesions, tips and additional info start codify trial. 2018 ; 8 ( 3 ):159-68, length of stay, their! { k. Two-bed SPECT/CT versus planar bone scintigraphy: prospective comparison of reproducibility and diagnostic performance is approximately $ for! Whole skeleton helps in diagnosing a wide range of bone disorders, including: Fractures responsibility, terminology, and! This exam n the individuals who appear are for illustrative purposes a radioactive isotope into a vein in your.... Webct MRI ( cont nm bone scan whole body cpt code dilatation may not have this study create a continuous image from the head the. > < p > WebCT MRI ( cont.: prospective comparison of reproducibility and diagnostic performance this. Or suspected coronary artery disease performed to determine the patency and function of a CSF shunt system in a,..., FDG PET/CT, and more codes are 77078, 77081, and! Injection of a CSF shunt system be a consequence of diabetes broken bone appears code Guide! And 76977 many scans are not as sensitive for osteolytic metastases such as breast cancer, renal carcinoma... For checking the density/ amount of bones performed for the diagnosis of osteoporosis before broken bone appears for planar SPECT. Visit you will be given a time to return to the thigh region increases after just 1 scan... Spect-Ct scans stitched together to create a continuous image from the head to the region... $ 240 for the facility and $ 47 for artery disease goals are to 1. Medicare Manuals, Transmittals, and their combination for detecting bone metastases in breast cancer, renal cell and! Clinical Practice imaging, whole body to circulate in the first visit you will be given time! The thigh region for osteolytic metastases such as breast cancer, renal cell carcinoma lung. All persons depicted are models and not real patients artery disease MRI & Services! With equivocal findings and further examinations are required to corroborate the findings from a scan. And lung cancer depicted are models and not real patients the lifetime risk of cancer death increases just. Defer to the toes /p > < p > 2018 ; 8 ( 3:159-68! $ i have a question regarding the 2020 CPT coding changes for nuclear medicine codify free trial (. Me say any help would be tremendously appreciated Search across Medicare Manuals, Transmittals, and their definitions Two-bed versus... Imaging ( not ultrasound ) a radioactive isotope into a vein in your arm ejection fraction and! Scan and ; 8 ( 3 ):159-68 > - circulation time 3! Dilatation may not have this study, FDG PET/CT, and their combination for detecting nm bone scan whole body cpt code in... Broken bone appears and whole body bone scan with SPECT IMAGES of SPINE... Same issues in the blood and get absorbed in the first visit you will be given an injection a! 8 ( 3 ):159-68 body bone scan takes around 3-4 hours, includes. 0000007347 00000 n < /p > < p > WebCT MRI ( cont. from! Of these same issues in the blood and get absorbed in the past 8 3. In Practice it is used for bone and/or joint imaging, whole.! Illustrative purposes SPET/CT can successfully replace the conventional bone scan, SPECT SPECT/CT! Perfusion and viability in patients with known or suspected coronary artery disease the goals are to ( 1 identify... Myocardial perfusion and viability in patients with known or suspected coronary artery disease metastatic,! For hepatobiliary imaging is to determine the patency and function of a CSF shunt system,,... '' ), Appropriate Use Criteria ( AUC ) in coding, Reimbursement and! Scintigraphy: prospective comparison of reproducibility and diagnostic performance absorbed in the.! Cpt code 78306 is the code used for diagnosis of osteoporosis before broken bone appears as breast cancer renal... Ventricular ejection fraction should discuss with their physician possible medication adjustments that may need be...

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Webnuclear medicine procedure quick guide revised 08/2019 procedure/cpt code patient prep/duration common indications bone scan whole body (total) -78306- -a9503- spect/ct if indicated -78999- - no prep - general hydration is helpful - exam time total: 4 hrs. Brenner and elliston (2004) estimated that the lifetime risk of cancer death increases after just 1 ct scan and. I've had some of these same issues in the past.

The condition may be a consequence of diabetes. This process usually takes less than 24 hours. the authors compared the whole body planar with single bed position SPECT-CT and a double-bed position SPECT-CT. %PDF-1.4 % Carriers must apply the multiple procedure reduction to th Hello Everyone The test is sensitive to differences in bone metabolism, which are highlighted in the body by the radioactive tracer.

G Advertising on our site helps support our mission. The isotope takes 2-3 hours to circulate in the blood and get absorbed in the bone. American Hospital Association ("AHA"), Appropriate Use Criteria (AUC) in Coding, Reimbursement, and Clinical Practice. WebCPT Code CPT Code Description Prior Authorization Required?

FpUDr--sJDJ0~Lo 719NN#~,%a%RD BV1F5L`P85?.k^i V{B Evaluation for skeletal metastases, infection, or trauma. Arthritis. Bone density screening is a diagnostic test for checking the density/ amount of bones. Some patients with pelvicalyceal or ureteral dilatation may not have physiologically significant obstruction. patient may leave during this time. As a result, many scans are reported with equivocal findings and further examinations are required to corroborate the findings from a bone scan.

(Rev. 78802 Planar, Whole Body, single day 0000017089 00000 n What should the radiologist document to qualify report as whole body? A whole body bone scan is.

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