Radiology
WHAT IS RADIOLOGY ?
The study dealing with X-rays and other high-energy radiation, especially the use of such radiation for the diagnosis and treatment of disease.
KEY NOTES
1.Anatomical Site and Views
2.Treatment time and areas.
3.Route of contrast.
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Radiology
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Question 1 |
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.
A | 74177- J90 |
B | 74176-R18.8 |
C | 74178- R18.8 |
D | 74176- J90 |
Question 1 Explanation:
The CT was taken without contrast material which
leads to the code 74176 and final diagnosis is pleural effusion for
which ICD 10 Code is J90. Ascites is only chief complaint but not
an final diagnosis as per the guidelines we should code only Final
diagnosis
Question 2 |
This patient received a prescription for a therapeutic radiology for a
cancerous neoplasm of the adrenal
Gland. What code would you use for complex treatment planning?
A | 60520 |
B | 77307 |
C | 77401 |
D | 77263 |
Question 2 Explanation:
As per CPT Guidelines code for Therapeutic radiology for
complex treatment planning is 77263.
Question 3 |
A patient is admitted to the hospital for insertion of 15 interstitial
radiation ribbons .How would the facility report the radiology services?
A | 77778 |
B | 77763 |
C | 77799 |
D | 77762*15 |
Question 3 Explanation:
The insertion of 15 interstitial radiation ribbons is included in
the code 77778. The guideline says that a complex brachytherapy is for
10 or more sources/ribbons.
Question 4 |
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?
A | 76815 |
B | 76816, 76816-59 |
C | 76801, 76802 |
D | 76805, 76810 |
Question 4 Explanation:
Pregnant patient came for follow up that leads to the
code 76816.And here the patient with twins so we have to give the
code twice with 59 modifier
Question 5 |
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?
A | 78473-26 |
B | 78451-26 |
C | 78452-26 |
D | 78453-26 |
Question 5 Explanation:
A Myocardial perfusion without SPECT will be taken
as Planar that leads to the answer D which includes study at rest
with quantification, ejection fraction, and wall motion study
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