Questions and Answers
What is the CPT® code reported by the radiologist for the X-rays of a patient's tibia and fibula taken after a soccer collision?
73590-26
What CPT® code(s) is/are reported for a bilateral screening mammography with CAD for a non-Medicare patient?
77067
What is the CPT® code reported for a DXA study of the hips for a patient on estrogen replacement therapy?
77080
An axillary view might be included in an X-ray of what part of the skeleton?
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Which plane divides the body into anterior and posterior halves?
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What CPT® code is reported for the first dose of radiation treatment for a patient with prostate cancer requiring a single port?
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What CPT® code(s) is/are reported following a Body PET-CT Skull Base to Mid-thigh procedure?
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In ICD-10-CM when a patient is seen for a routine examination, what additional information is needed to accurately code it?
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What CPT® code is reported by the obstetrician for a repeat transabdominal ultrasound at 14 weeks pregnant?
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What CPT® code is reported for a fetal biophysical profile (BPP) in the last trimester of pregnancy?
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What CPT® code is reported for HDR brachytherapy in a patient with cervical cancer?
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What CPT® code is reported for a pyelography (IVP) in a patient with hydronephrosis?
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What CPT® and ICD-10-CM codes are reported for a uterine catheterization with saline infusion sonohysterography?
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What CPT® code(s) is/are reported for a radiology exam of a child suspected of swallowing a toy?
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What CPT® and ICD-10-CM codes are reported for X-rays after a football injury to the hand?
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What CPT® codes are reported for chest X-ray and CT scan for a follow-up of an abnormality?
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What CPT® code(s) is/are reported for an epidural injection for lumbar degenerative disc disease?
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What CPT® code(s) is/are reported for an obstetrical ultrasound to obtain fetal heartbeats in a triplet pregnancy?
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What CPT® code should be reported for a CT study of the lumbar spine performed in an outpatient setting?
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What CPT® code(s) is/are reported for a fluoroscopic guided radiopharmaceutical therapy joint injection?
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What ICD-10-CM code is reported for an adverse effect to diagnostic iodine during the initial encounter?
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What CPT® code is reported for a CT scan confirming improper ossification in the upper jawbone?
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What radiology code(s) is/are appropriate for the clinical management of weekly radiation treatments?
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What codes are reported for a radiographic study to visualize abnormalities in a patient with chronic venous embolism?
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What CPT® code(s) is/are reported for cardiac catheterization involving infusion of Lidocaine?
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Study Notes
Radiology and CPT® Codes
- CPT® Code for Tibia and Fibula X-rays: 73590-26 is reported by a radiologist for X-rays of a patient unable to stand post-soccer collision.
- Bilateral Screening Mammography: 77067 is the CPT® code for a non-Medicare patient's mammogram with CAD.
- Bone Density Study on ERT: A DXA study of the hips coded as 77080 is performed on a patient on estrogen replacement therapy.
- Shoulder Imaging: An axillary view is commonly included in shoulder X-rays.
- Coronal Plane: This anatomical plane divides the body into anterior (front) and posterior (back) sections.
Radiation Treatment
- Prostate Cancer Radiation: CPT® 77402 is reported for the first dose of radiation treatment in a single area with a specified energy level.
- Body PET-CT Scan: Code 78815 is for a PET-CT from Skull Base to Mid-thigh for restaging rectal carcinoma.
Routine Examinations and Ultrasounds
- Routine Examination Coding: In ICD-10-CM, abnormal findings must be noted for accurate coding during routine exams.
- Repeat Transabdominal Ultrasound: 76816 is the CPT® code utilized for examining fetal size and confirming abnormalities in a 14-week pregnant patient.
- Fetal Biophysical Profile: A BPP performed using ultrasound, scoring 9/10 points, is coded as 76818.
Cancer Treatments and Procedures
- HDR Brachytherapy for Cervical Cancer: A procedure involving six applicators coded as 77762-26.
- Nephrostomy and Pyelography: The coding for pyelography services on a patient with hydronephrosis is 74400-26.
Gynecological Procedures
- Sonohysterography for Uterine Bleeding: Combined codes for the procedure and imaging are 58340, 76831-26, with diagnosis code N93.8.
Pediatric and Emergency Procedures
- Emergency Foreign Body Examination: CPT® 76010 is used for a child suspected of swallowing a toy, where a full radiological exam is performed.
- Fracture Assessment in Emergency: X-ray for a left hand fracture coded as 73130-26, with associated injury codes S62.323A and W50.0XXA.
Imaging Interpretations
- Abdominal CT and Chest X-Ray: Codes 71046 and 74150-26 indicate normal results and image interpretations by the physician.
- Lumbar Spine CT Study: When performed with IV contrast, 72132-26 is used for coding.
Joint Therapies and Interventions
- Fluoroscopy Guided Joint Injection: The radiopharmaceutical therapy joint injection in the right knee is coded 79440-26, with additional codes 20610 and 77002-26.
- Adverse Effect to Diagnostic Iodine: The ICD-10-CM code for an initial encounter is T50.8X5A.
Additional Imaging Procedures
- CT for Facial Defects: The code reported for facial cartilages decay via CT with contrast is 70487-26.
- Radiation Treatment Management: Weekly treatments for oncology patients are reported using 77427, specifically for multiple fractionated treatments.
- Superior Vena Cava Imaging: Accessing the subclavian vein with catheterization is coded as 36010 and 75827-26.
Cardiac Procedures
- Cardiac Catheterization: Infusion and aortography in the abdominal aorta during a cardiac procedure are reported as 36200 and 75625-26.
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Description
Test your knowledge with flashcards covering important CPT® codes related to radiology and mammography from Chapter 17 of the AAPC materials. Prepare for exams by reviewing these crucial coding scenarios and their corresponding codes, enhancing your coding proficiency.
