Radiology Guidelines and Terms (pg 12-13)

Which code should be used for injections performed during a CT or MR arthrography without prior radiographic arthrography?

What is included in a 'with contrast' procedure for spine examinations?

Which of the following statements about oral and rectal contrast administration is true?

What must be included as part of a radiologic procedure or interpretation?

Which additional code should be used for intrathecal injection during spine examinations?

What is indicated by appending modifier 59 to a procedure code?

When should an 'Unlisted Procedure' code be used?

What does the phrase 'with contrast' refer to in procedure codes?

What should be included for both imaging services and radiological supervision?

Which scenario accurately represents a 'Separate Procedure'?

Which of the following codes can be reported for radiography when image guidance is not included?

What must be performed if a radiographic arthrography is conducted?

Which of the following statements about image guidance is incorrect?

Radiology Guidelines and Terms

Separate Procedure: A procedure can be reported independently if deemed distinct from other services. Modifier 59 is used to indicate it is not part of another procedure.
Unlisted Procedure: When a service is not found in the CPT® codebook, report it using an "Unlisted Procedure" code, accompanied by a "Special Report."
Supervision and Interpretation:
- Imaging may be needed during procedures; some may require surgical access.
- Image guidance is often included in service descriptors and is not separately reportable.
- Codes for "radiological supervision and interpretation" can be reported when imaging is not included in a procedure.
Administration of Contrast Material:
- "With contrast" signifies the use of contrast material via intravascular, intraparticularly, or intrathecally.
- Use specific codes for intra-articular injections and arthrography assessments which include supervision and interpretation.
- CT or MR arthrography without radiographic arthrography requires joint injection codes alongside imaging guidance codes.
- For spine imaging procedures, "with contrast" includes intrathecal or intravascular injections; additional codes (61055 or 62284) may be required for intrathecal injections.
Injection of Contrast: Intravascular contrast is included as part of "with contrast" procedural codes for CT, CTA, MRI, and MRA.
- Oral or rectal contrast does not qualify as "with contrast" studies.
Written Reporting: A signed written report, whether handwritten or electronic, is essential and considered an integral component of radiologic interpretation and procedures.