J850

PDF page 346 / B8

NUCLEAR MEDICINE - IN VIVO
MUSCULOSKELETAL SYSTEM
                                                                                                           H            P
  Bone scintigraphy
J850 - general survey....................................................................              103.70          56.55
J851       - single site ...........................................................................     84.85         45.85
  Gallium scintigraphy
J852 - general survey....................................................................              177.55          56.55
J853       - single site ...........................................................................   123.70          45.85
  Application of tomography (SPECT)
J819    - where each SPECT image represents a different organ or
          body area, to J852, maximum 3 images per examination
          ................................................................................... add        43.50         28.05
      Note:
      J850 and J851 are not to be billed together. J804 may be claimed in addition to J850 or J851
      for blood pool study.

Master, record 2825. Record Layout PDF, page 1.

J85020260401999999990000000000000001204000000000000000000000000000000565500

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.