Kidney SPECT (Single Photon Emission Computed Tomography)
CPT: 78710
Evaluation of known or clinically suspected Acute or Chronic Pyelonephritis
Unspecified Kidney Infection
Evaluation of renal perfusion and function in the clinical setting of renal insufficiency or failure
Evaluation or renal or urinary tract abnormality due to recent trauma or surgery
Evaluation of reno-vascular hypertension in a patient with any of the following signs or symptoms:
failure to respond to at least 3 antihypertensive medications
- accelerated or malignant hypertension
- epigastric bruit
- impaired renal function after treatment with an ACE inhibitor
- progressive renal failure
- recurrent pulmonary edema
- sudden development of worsening of hypertension
- unilateral small kidney discovered with any clinical study.
Evaluation of renal collecting system obstruction
Diagnosis of acute tubular necrosis
Diagnosis of renal transplant complications
Evaluation or renal or urinary tract abnormality due to recent trauma or surgery
Additional Indications for the Pediatric Population (under age 18):
- Renal screening in a child with congenital heart disease
- Dehydration
- Failure to thrive
- Septicemia of the newborn
- Severe hemolytic anemia
- Recurrent urinary tract infection
- Vesicoureteral reflux
References
- American College of Radiology. (2014). ACR Appropriateness Criteria® Retrieved from https://acsearch.acr.org/list.
- Society of Nuclear Medicine Procedure Standards. http://www.snmmi.org/ClinicalPractice/content.aspx?ItemNumber=6414