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OtherPROFESSIONAL DEVELOPMENT

Nuclear Medicine Facility Survey: SNM 2003 Survey Reporting on 2002 Cost and Utilization

Denise A. Merlino
Journal of Nuclear Medicine Technology December 2004, 32 (4) 215-219;
Denise A. Merlino
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Article Figures & Data

Tables

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    TABLE 1

    Average (Mean) Nuclear Medicine Procedures

    Hospital-based Facilities by Number of BedsNonhospitals
    0–125126–300301–499500+All Hospitals
    Outpatient Procedures99524793967602523182093
    Inpatient Procedures3711386211642281253
    % Reporting83%82%90%82%83%84%
    • View popup
    TABLE 2

    Nuclear Medicine Procedure Volume*

    Facilities Reporting Hospital/NonhospitalCode and ProcedureHospital-based Facilities by Number of BedsNonhospitals
    0–125126–300301–499500+All Hospitals
    423/10978000–78011 Thyroid Imaging and Uptake44120187228102126
    413/10678015, 78020 Thyroid Carcinoma Metastases Imaging193249114
    419/10878070, 78075 Parathyroid & Adrenal31327681410
    418/10678195 Lymphatics and Lymph Node62156101235
    421/10878185, 78201–78220 Liver & Spleen52124451614
    423/10978223 Hepatobiliary9718728323817088
    423/10978300–78320 Bone Scan27964810671138567436
    423/10678580–78596 Ventilation & Perfusion Scans6627243360821919
    417/10578600–78615 Brain Imaging including SPECT18113477
    422/10978700–78725 Renal Imaging26691221556845
    414/10778730–78740 Ureteral Reflux & Retention Study31352371
    415/10678760–78761 Testicular Imaging111210
    419/10778800–78803 Localization of Tumor420391292415
    419/10678805–78807 Localization of Abscess52339832311
    431/33178465 MPI Multiple studies Stress and Rest (SPECT)4431121156221999561582
    421/33878464 MPI Single Study Stress or Rest (SPECT)47531151006295
    416/32878461 MPI Multiple Studies Stress and Rest (Planar)7103620138
    417/34178460 MPI Single Study Stress or Rest (Planar)012615
    425/34078478 MPI WM add-on382766120418117251282
    426/32778480 MPI EF add-on382773127118277381285
    419/32778494 GBP, SPECT, WM, EF, Resting22349303579
    427/33278496, 78473 GBP Planar multiple studies with RVEF22601331726021
    389/34378472 GBP Planar Single9949321610
    281/3979000–79020 Thyroid non-cancer123554973632
    277/3879030, 79035 Thyroid Carcinoma292045124
    62/18G0125, G0210–G0212, G0234 PET Lung176679162102100
    61/18G0213–G0215, G0231 PET Colorectal71622483419
    60/18G0216–G0218, G0233 PET Melanoma2710301511
    60/18G0220–G0222, G0232 PET Lymphoma112538845235
    60/17G0223–G0225 PET Head and Neck Tumors168301311
    59/16G0226–G0228 PET Esophageal3561995
    60/1678810 PET Tumor0712712467
    60/17G0252–G0254 PET Breast109101099
    59/13G0219 PET Non-covered indications114542
    59/15G0229–78608, 78609 PET Brain000006
    58/17G0230, 78459, 78491, 78492 PET Cardiac100005
    58/14G0032–G0047 PET Cardiac210011
    58/14G0030–G0031 PET Cardiac30543434380
    • ↵* Volume is reported as mean number of procedures, as identified by CPT© or HCPCS code, performed at facilities in each size category. CPT copyright by the AMA, all rights reserved.

    • View popup
    TABLE 3

    Radiopharmaceutical Preparation

    Hospital-based FacilitiesNonhospitals
    0–125 Beds126–300 Beds301–499 Beds500+ BedsAll Hospitals
    Commercially Prepared Unit Dose75%78%80%55%76%98%
    Commercially Prepared Multidose2%4%4%9%4%1%
    Inhouse Preparation23%18%16%36%20%1%
    • View popup
    TABLE 4

    Radiopharmaceutical Frequency, Cost, and Dose

    Hospital-based FacilitiesNonhospital-based Facilities
    # Facilities Reporting Frequency/Cost/DoseMean FrequencyMean CostMedian CostMean Dose# Facilities Reporting Frequency/Cost/DoseMean FrequencyMean CostMedian CostMean Dose
    Cardiac and Other Nuclear Medicine
    A9500 Tc 99m Sestamibi per dose397/279/304933$100.69$85.0024 mCi324/205/2111594$81.16$80.0025 mCi
    270/257/280685$97.69$86.0024 mCi59/56/60754$90.17$88.1824 mCi
    A9502 Tc 99m Tetrofosmin per dose397/123/136383$74.82$68.0025 mCi316/100/100751$74.83$70.0025 mCi
    A9505 Tl-201 Thallium per mCi400/197/219514$32.87$23.444.0 mCi321/145/1501057$33.45$21.003.7 mCi
    135/136/145816$35.27$22.503.7 mCi30/24/261403$27.47$22.507.6 mCi
    Q3010 Tc-99m RBC per dose395/88/22353$65.62$50.5024 mCi317/64/7411$53.01$52.0026 mCi
    J1245 Dipyridamole per 10 mg396/72/82318$36.07$15.5044 mg317/80/28198$30.96$19.0044 mg
    J0150 Adenosine per 6 mg386/22/22103$59.15$32.8147 mg312/75/2590$102.31$106.0044 mg
    J0151 Adenosine per 90 mg390/64/6172$218.07$185.0066 mg321/131/108447$189.14$188.0060 mg
    Therapeutic and Other Nuclear Medicine
    A9600 Strontium-89 Chloride per mCi63/37/543$1416.0$800.005 mCiNSD**
    A9605 Samarium-153 Lexidronamm, 50 mCi61/35/356$140.20$52.5071 mCiNSD
    C1064 I-131 Cap, each add mCi177/156/145284$29.70$14.0020 mCi34/24/2866$36.22$16.8916 mCi
    C1064 I-131 Sol, each additional mCi22/18/11211$7.70$7.0024 mCiNSD
    C1188 I-131 Cap per 1–5 mCi143/119/12033$72.10$66.008.4 mCi18/17/1532$94.86$101.005.2 mCi
    C1348 I-131 Sol per 1–6 mCi23/20/1533$54.30$51.6015 mCiNSD
    Q3007 Sodium Phosphate P-32 per mCi12/9/1225$281.40$168.804.5 mCiNSD
    PET and Other Nuclear Medicine
    C1775 FDG per dose59/50/58251$35.66$378.0012 mCi20/16/19339$374.21$375.0014 mCi
    A4642 Satumomab pendetide per dose12/10/93$1470.45$1591.2510 mCiNSD
    A9503 Tc 99m medronate per dose227/209/231651$19.44$14.7924 mCi61/54/58513$18.93$15.9024 mCi
    A9504 Tc 99m apcitide per dose30/24/285$350.46$375.0020 mCiNSD
    A9507 Indium-111 Capromab pendetide per dose26/18/2211$1774.30$1675.004 mCi7/6/731$1852.17$1689.505 mCi
    A9510 Tc 99m Disofenin per dose170/161/179150$35.29$29.559 mCi35/33/3578$34.65$33.206.5 mCi
    A9511 Tc 99m depreotide per mCi19/10/2035$148.06$36.7018 mCiNSD
    C1058 Tc 99m Oxidronate per vial37/13/36292$19.68$17.5024 mCiNSD
    C1066 In 111 Satumomab Pendetide per dose31/14/1228$1494.41$1316.005 mCiNSD
    C1087 I-123 caps per 100 uCi241/208/238308$30.03$23.20222 uCi50/40/44328$31.15$25.57207 uCi
    C1092 In-111 Pentetate, per 0.5 mCi82/61/7312$590.28$600.000.5 mCi*6/6/67$566.92$575.003.7 mCi
    C1094 Tc 99m Albumin Agg 1.0 mCi242/205/228361$12.22$10.006.8 mCi18/15/1653$122.91$15.455.3 mCi
    C1095 depreotide per dose24/16/2526$678.93$662.5018 mCiNSD
    C1096 Tc 99m Exametazime per dose73/65/6729$435.23$410.5220 mCi9/8/873$455.15$441.3019 mCi
    C1097 Tc 99m Mebrofenin per dose198/179/194137$32.94$29.006 mCi42/35/4093$30.96$31.506.7 mCi
    C1098 Tc 99m Pentetate per dose159/147/15696$24.74$20.0024 mCi23/21/2367$24.78$22.0020 mCi
    C1122 Tc 99m Arcitumomab per dose14/15/104$1494.53$1382.5023 mCiNSD
    Q3006, C1200 Tc 99m Glucoheptonate per dose13/18/166$38.16$18.0014 mCiNSD
    C1201 Tc 99m Succimer per dose29/22/2614$203.00$216.003.0 mCiNSD
    C1202 Tc 99m SC per dose287/256/27969$26.09$20.005.0 mCi*63/48/5839$22.58$20.435 mCi
    Q3002 Gallium per mCi211/178/20455$24.30$15.918 mCi42/31/3547$29.78$18.008 mCi
    Q3003 Tc 99m Biscate per dose17/14/1810$344.78$337.5024 mCiNSD
    Q3004 Xenon 133 per 10 mCi138/121/135338$22.87$18.0015 mCiNSD
    Q3008 Tc 99m Mertiatide per dose162/149/15865$133.41$132.9510 mCi*38/32/3436$141.60$138.139 mCi
    Q3008 In 111 Pentetreotide per dose63/55/5121$1102.86$1105.005 mCi8/9/97$1431.60$1350.005 mCi
    Q3009 Tc 99m Oxidronate per dose53/49/56582$22.87$18.2923 mCi11/11/11461$18.50$16.4325 mCi
    • Note: If a radiopharmaceutical was reported in more than one section in the survey, the first reported number will be from the specialty section and the second will be from the Other Nuclear Medicine Section.

    • ↵* Median data reported.

    • ↵** NSD = Not Sufficient Data.

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Journal of Nuclear Medicine Technology: 32 (4)
Journal of Nuclear Medicine Technology
Vol. 32, Issue 4
December 1, 2004
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Denise A. Merlino
Journal of Nuclear Medicine Technology Dec 2004, 32 (4) 215-219;

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Nuclear Medicine Facility Survey: SNM 2003 Survey Reporting on 2002 Cost and Utilization
Denise A. Merlino
Journal of Nuclear Medicine Technology Dec 2004, 32 (4) 215-219;
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