Erin, a 45-year-old, asymptomatic female comes in for her annual bilateral screening mammography. Her physician ordered a computer- aided detection along with the mammography. The procedure was performed in a hospital. How would you report the professional services for this study?
A patient presents to a freestanding radiology center and had ultrasonic guidance needle placement with imaging supervision and interpretation of two separate lesions in the left breast. The procedure required several passes to complete. How would you report the imaging procedure?
Sally had a DXA bone density study for her hips, pelvis, and spine. The procedure was performed in a hospital. How would you report for the professional services of this study?
How is proton beam treatment delivery defined?
A patient had a myocardial perfusion imaging single study at rest with quantification, ejection fraction, and wall motion study. The procedure was performed in the nuclear medicine department of the hospital. How would you report the professional services for this study?
Which of the following codes are unlisted procedures?
How does cardiac magnetic imaging differ from a traditional MRI?
Jim is received two fractions of high dose electronic brachytherapy by dermal application at a free-standing oncology center. What code(s) report this service?
What is the correct CPT description of code 78135?
The physician requests a dual energy absorptiometry of the foot. Which code should be reported for this diagnostic test?
A patient with colon cancer receives seven radiation treatments. During the course of the treatments, the physician views the port films, reviews the treatment parameters, and assesses the patient’s response to the treatment. Code for the radiation treatment management.
A 78-year-old with lower back pain and leg pain is scheduled for an MRI of lumbar spine without contrast. Following the MRI, the patient is diagnosed with spinal stenosis of the lumbar region. What are the procedure and diagnosis codes?
The physician orders an ultrasound on a patient 25 weeks pregnant with twins to access fetal heart rate and fetal position. Select the code(s)
Due to an elevated CEA level two years following a colon resection, the patient’s oncologist ordered a diagnostic liver ultrasound. Code this encounter.
The physician orders a heart CT without contrast. The tests will evaluate the amount of coronary calcium. What is the correct code?
A 42-year-old has a lesion on his pancreas. The physician passes the biopsy needle through the skin and removes tissue to be sent to pathology. Fluoroscopic guidance is used to obtain the biopsy. Code this encounter.
56-year-old female is having a bilateral mammogram with computer aid detection conducted as a screening since the patient has had a previous cyst in the right breast. What radiological services are reported
63 year-old patient with bilateral ureteral obstruction presents to an outpatient facility for placement of a right and left ureteral stent along with an interpretation of a retrograde pyelogram. What codes should be reported?
This gentleman has localized prostate cancer and has chosen to have complete transrectal ultrasonography performed for dosimetry purposes. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous placement of 1-125 seeds. Select the appropriate codes for this procedure.
76-year-old female had a ground level fall when she tripped over her dog earlier this evening in her apartment. The Emergency Department took x-rays of the wrist in oblique and lateral views which revealed a displaced distal radius fracture, grade I open right wrist. What radiological service and ICD-9 codes should be reported?
A CT density study is performed on a post-menopausal female to screen for osteoporosis. Today’s visit the bone density study will be performed on the spine. Which CPT code should be used?
The patient is 15 weeks pregnant with twins coming back to her obstetrician to have a transabdominal ultrasound performed to reassess anatomic abnormalities of both fetuses that were previously demonstrated in the last ultrasound. What code(s) should be used for this procedure?
53-year-old woman with ascites consented to a procedure to withdraw fluid from the abdominal cavity. Ultrasonic guidance was used for guiding the needle placement for the aspiration. What CPT codes should be used?
This 69-year-old female is in for a magnetic resonance examination of the brain because of new seizure activity. After imaging without contrast, contrast wasadministered and further sequences were performed. Examination results indicated no apparent neoplasm or vascular malformation
This patient undergoes a gallbladder sonogram due to epigastric pain. The report indicates that the visualized portions of the liver are normal. No free fluid noted within Morison's pouch. The gallbladder is identified and is empty. No evidence of wall thickening or surrounding fluid is seen. There is no ductal dilatation. The common hepatic duct and common bile duct measure 0.4 and 0.8 cm, respectively. The common bile duct measurement is at the upper limits of normal.
EXAMINATION OF: Chest CLINICAL SYMPTOMS: Pneumonia. PA AND LATERAL CHEST X-RAY WITH FLUOROSCOPY. CONCLUSION: Ventilation within the lung fields has improved compared with previous study.
EXAMINATION OF: Abdomen and pelvis. CLINICAL SYMPTOMS: Ascites. CT OF ABDOMEN AND PELVIS: Technique: CT of the abdomen and pelvis was performed without oral or IV contrast material per physician request. No previous CT scans for comparison. FINDINGS: No ascites. Moderate-sized pleural effusion on the right
EXAMINATION OF: Brain. CLINICAL FINDING: Headache. COMPUTED TOMOGRAPHY OF THE BRAIN was performed without contrast material. FINDINGS: There is blood within the third ventricle. The lateral ventricles show mild dilatation with small amounts of blood.IMPRESSION: Acute subarachnoid hemorrhage.
EXAMINATION OF: Right hip. DIAGNOSIS: Osteoarthritis right hip. ONE-VIEW RIGHT HIP: A single frontal view is obtained of the right hip. No previous studies are available for comparison. Right hip arthroplasty is seen. Alignment appears grossly unremarkable on this single view. There are skin staples present. Air is seen in the soft tissues, likely due to recent surgery. There appear to be two drains present. The tip of one overlies the soft tissues superolateral to the greater trochanter. The second one is more inferior. The tip overlies the right proximal femoral prosthesis. IMPRESSION: Single view of the right hip with findings consistent with recent right total hip arthroplasty. Bill the physician component only.
EXAMINATION OF: Cervical spine. CLINICAL SYMPTOMS: Herniated disc. FINDINGS: A single spot fluoroscopic film from the operating room is submitted for interpretation. The cervical spine is not well demonstrated above the level of the inferior aspect of C6. There is a metallic surgical plate seen anterior to the cervical spine. The cephalic portion of the plate is at the level of C6 at its superior endplate. That extends in an inferior direction, presumably anterior to C7; however, there is not adequate visualization of C7 to confirm location. Density overlies the C6-7 intervertebral disc space, suggesting the presence of a bone plug in this area; however, again visualization is not adequate in this area. Further evaluation with plain radiographs is recommended.
This patient is suffering from primary lung cancer and is in for a follow-up CT scan of the thorax with contrast material. Code the physician component only.
A patient received 32 radiation oncology treatments. How should this series of treatment sessions be coded?
Select the appropriate code for a computerized axial tomography of the lumbar spine with contrast.
Mammographic guidance for preoperative needle placement in the breast is coded as:
SPECT bone scan is reported with which CPT code?
A patient suffering from lower back pain presented to the emergency department. The physician performed a physical examination on the patient and ordered a lumbar myelography for a suspected herniated disc. The patient was sent to the hospital where the radiologist injected contrast material into the subarachnoid space through a percutaneously placed spinal needle. Films of the lumbar area were obtained and interpreted. Select the appropriate codes for the radiologist services.
A transperineal permanent interstitial greater than 10 ribbons of Palladium-103 implantation of the prostate was performed on a 68-year-old patient with cancer of the prostate of complex nature. A postimplant cystogram was performed by the urologist and revealed the seeds to be in excellent position. The patient went to the recovery room in stable condition. Follow-up dosimetry is arranged.
A CT study of the cervical spine (C2-C4) was performed with IV contrast in the hospital outpatient radiology department. How should the services be reported?
A patient received 13 radiation oncology treatments. How should this series of treatment sessions be coded?
The patient reports to the clinic with a chronic sinus infection and headache. PA, lateral, and oblique views are taken of the sinuses at the clinic's radiology department for review by the clinic's radiologist. Provide the CPT & ICD-9-CM codes
A 12-year, old child comes in for a scoliosis (congenital) film; erect, to evaluate the condition and her increasing thoracic back pain. The exam is accomplished in the hospital's radiology department and read by the hospital employed radiologist. Provide the CPT and ICD 9 CM. codes for the exam.
An ophthalmologist injects contrast material into the lacrimal duct for a dacryocystography using hospital equipment and also performs the radiological supervision and interpretation. Which CPT code and modifier would you report for the radiological supervision and interpretation?
The physician performs a bilateral screening mammography study of each breast on a 50-year-old female. Which is the correct CPT for this service?
A patient with coronary artery disease is seen in the OR for arterial bypass graft. The physician performs an epiaortic ultrasound during this operation. What is the correct CPT for this scenario?
What is the code for the test (pyelography) in which contrast is injected into a vein and the kidneys and filmed over a 30 to 60 minute period at intervals of one, five, 10, 15, and 30 minutes?
The path of the X-ray beam is known as?
A contrast radiograph of the salivary glands and ducts is performed, resulting in diagnosis of salivary fistula. What is the CPT for the supervision and interpretation of this procedure?
CT images of the abdomen and pelvis were obtained without IV contrast, as a follow up to a splenic injury. What is/are the CPT code(s) for the CT scan?
A patient presents to her physician 48 hours after an assault with right eye pain, nasal airway obstruction, and deformity. The physician orders an X-ray of the facial bones with a Waters view, Caldwell view and lateral view. What is the CPT code for the X-ray?
A patient presents to the physician with stiffness and numbness in the necks, shoulders and arms. The physician orders an MRI of the cervical spine, with and without contrast, to rule out cervical spinal stenosis. What is/are the CPT code(s) for the MRI?
A patient with left breast pain and a lump in the breast visits her physician. After examination, the physician orders a mammogram of the left breast. The mammography is performed using computer –aided detection software. What CPT code(s) is/are reported for the mammography?
The use of ultrasound to examine the measure internal structures of the skull and to diagnose abnormalities and disease is echoencephalography. What is the code for echoencephalography and/or real time with image documentation, including A-mode encephalography as a secondary component where indicated?
A patient receives complex radiation oncology treatment two times a day for three days. Which radiology code(s) is/are appropriate for this series of clinical management fractions?
A DXA body composition study is performed on a patient. What CPT code(s) is/are reported for the scan?
A male patient being treated for prostate cancer receives brachytherapy treatment. Nine radioactive sources were placed within the cavity. What is the CPT code for the radiological component?
Patient is in the orthopedic’s office with an injured ankle. The orthopaedic thinks it is only a sprained ankle, but decides to take an ankle X-ray to rule out a fracture. A two view ankle X-ray is taken in the physician’s office. The orthopaedic reviews the ankle X-ray and it is negative for a fracture. The report is placed in the medical records. How is the X-ray reported by the orthopaedic physician?
A patient with osteoporosis reports to her physician’s office for a DXA bone density of her spine to monitor the severity of her condition. What is the correct CPT code for the DXA scan?
The axial plane divides the body into what sections?
What position is the body placed in when it is in an oblique position?
What X-ray projection enters the front of the body and exits through the back of the body with the patient lying down on the back?
Which plane divides the body into anterior and posterior sections?
Complete, hip x-ray study, two views –
X-ray of a 6 month’s old arm, two views –
Myelography, cervical, radiological supervision and interpretation –
X-ray of the facial bones 2 views –
Which code should you report for radiological examination, surgical specimen?
What is the code for the test pyelography in which contrast was injected into a vein & the kidneys & filmed over a 30 to 60 minute period at intervals of 1,5,10,15 & 30 minutes?
63 year-old patient with bilateral ureteral obstruction presents to an outpatient facility for placement of a right and left ureteral stent along with an interpretation of a retrograde pyelogram. What codes should be reported?
A patient presents to a freestanding radiology center and had ultrasonic guidance needle placement with imaging supervision and interpretation of two separate lesions in the left breast. The procedure required several passes to complete. How would you report the imaging procedure?
56-year-old female is having a bilateral mammogram with computer aid detection conducted as a cyst was found during the previous screening mammogram. What radiological services are reported?
The radiological portion of a procedure which also has a surgical component is referred in the code as ------------
During a physical examination, hepatomegaly is revealed. The physician orders an ultrasound of the liver to evaluate the hepatomegaly. What CPT code is reported?
A patient 20-weeks pregnant with twins goes to her OB/GYN for an ultrasound to check the position of the both foetuses. What CPT code(s) is/are used for the ultrasound?
A complete B-scan ultrasound without duplex Doppler of the kidney is performed in the physician’s office on a patient following a kidney transplant. What is the CPT code for the ultrasound?
Code the procedure for radiological examination of temporomandibular joint right side open & closed.
Physician performed complete radiological examination of facial bone 4 views.
Physician performed X-ray of mastoid right side 2 views only to rule out mastoiditis.
Physician performed CT scan of thyroid without contrast for a large thyroid swelling.
Code the procedure of radiological examination of chest, 3 views and the again its repeated on another session in the same day by the same physician bcoz of medical necessity.
Physician performed X-ray temporomandibular joint both sides. Since the patient was unable to open her mouth, only closed mouth view was performed. Report the professional component only.
Physician performed a portable bedside chest x-ray in the morning, PA &lateral chest x-ray in the evening for chest congestion. Code only professional component.
Radiologist performed lumbar myelogram by injecting contrast and interpreted along with report documentation.
Physician ordered x-ray cross table cervical spine; complete cervical spine series with including oblique views . Code only professional component.
Mr.Lee Ben presented to an ortho-clinic with history of shoulder injury due to fall in the bath room. Physician examined & ordered X-ray left shoulder 1 view, X-rays of clavicle 2 views. Code the services.
28-year-old male patient accompanied with her orthopedician presented to the radiologist with complaint of pain in left elbow. Orthopedician injected contrast & radiologist perform arthrogram of elbow. Code the services of both physicians .
A mother brought her 14 month old child with complaint of limping walk to the physician. Physician ordered x-ray pelvis AP, bilateral frog-leg hips. Code the services only with professional component.
