Radiology Certified Coding

X-ray Chest 1 view
71010
X-ray Chest 2 views
71020
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MRI Lumbar Spine Without Contrast
72148
MRI Lumbar Spine With Contrast
72149
MRI Cervical Spine Without Contrast
72141
Gastrointestinal
A percutaneous biliary drainage catheter would be found in which of the following anatomical systems?
Vessels
Angiography is a radiological examination of which of the following an atomic structures
The coder unbundled the codes
A coder uses the code(s) 71010 and 71100 for a one-view chest radiograph and a rub radiograph. Which of the following statements best describes the coder’s action?
78451
The correct CPT code(s) for stress/rest myocardial perfusion imaging, tomographic SPECT, single study, at rest or stress with wall motion and ejection fraction are
70551
Which of the following is the correct CPT code for magnetic resonance imaging of the brain performed without contrast?
75710
The correct CPT code for the radiological supervision and interpretation of a subclavian angiography is:
G0202, G0206-GG
Digital screening mammography is performed on a patient covered by Medicare and additional views of the left breast are required during the same session due to suspicious findings. The correct CPT coding is:
72131
If following a routine, non-contrast, transverse (I.e, axial or transaxial) CT Study of the lumbar spine, the patient data is now manipulated with the assistance of the CT computer software to also produce additional 2D images in the sagittal and/or coronal planes, the correct CPT coding is:
47505-58, 74305
Eight days after the initial placement of an external biliary drainage tube, a post-operative T-tube cholangiogram is performed. The correct CPT coding is:
433.30
The correct ICD-9CM code for bilateral carotid artery stenosis is:
The front of the body
Anterior is defined as the:
Back of the body
Posterior is defined as the:
Side of the body
Lateral is defined as the:
Toward the head
Cephalad refers to:
Toward the tail, feet or distal end
Caudal refers to:
Toward the back
Dorsal refers to:
Angled or slanted
Oblique refers to:
From front to back, (anterior to posterior)
AP refers to:
From back to front, (posterior to anterior)
PA refers to:
A sectional image from side to side
The sagittal plane refers to:
A sectional image from front to back
The coronal plane refers to:
A sectional image from top to bottom
The axial or transverse plane refers to:
Close to the reference point
Proximal refers to:
Far away from the reference point
Distal refers to:
Toward the sole of the foot
Plantar refers to:
Toward the palm of the hand
Palmar refers to:
Toward the front
Ventral refers to:
Lying on your back, face up
Supine refers to:
Lying on your stomach, face down
Prone refers to:
Computed tomography
CT is an abbreviation for:
Ultrasound
US is an abbreviation for:
Magnetic resonance
MR is an abbreviation for:
Nuclear medicine
NM is an abbreviation for:
Imaging of the mammary glands, imaging of the breast(s) and diagnostic and screening studies of the breast(s)
Mammography refers to:
An x-ray of an area of the body
A radiograph is:
Both a registered individual who takes x-rays and a registered individual who works in radiation therapy
An RT is:
Radiation therapy in which the beam is directed to a three-deme signal reconstructed target area
Conformal refers to:
The performance of tests to determine the nature or cause of a disease
Diagnostic refers to:
Treating
Therapeutic refers to:
Either a puncture or incision of the skin with placement of a device into the body and placement of a needle into a vein
Invasive refers to:
Procedure done to diagnose and treat a patient
Interventional radiology refers to:
Part of a structure “falling down” into another (I.e., enfolding of one structure into the other).
Intussusception means:
Intravenous pyelography
IVP refers to:
NM (nuclear medicine)
SPECT imaging is used in:
An image representing two dimensions
In nuclear medicine, planar imaging refers to:
Guidance for exact positioning for a procedure
Stereotactic localization refers to:
The amount of radioactive material used for nuclear medicine e study
Millicuries and microcuries refer to:
Both the study of veins following the injection of contrast material and the study of arteries following the injection of contrast material
Angiography refers to:
Laying down. In radiology, the common definition used is lateral decubitus, which refers to laying down on one’s side
Decubitus refers to:
Local coverage determination
LCD is an acronym for _____ and defines state specific guidelines when billing/coding for services for Medicare and other third party payers:
Inflammation
When words such as “nephritis” or “phlebitis” appear in dictated radiology report, the suffix “itis” means:
The membrane lining the walls of the abdominal and pelvic cavities
When reference is made to the peritoneum, anatomically, this is:
The space between the peritoneum and the posterior abdominal wall
When reference is made to retroperitoneum, anatomically, this refers to:
Abscess
When describing a localized collection of pus in a cavity tissue, you are referring to a(n):
Cyst
When reference is made to an abnormal sac containing gas, fluid, or semisolid material, with a membranous lining, this is defining a(n):
Biopsy
When living tissue is removed from the body to determine whether this tissue is malignant or benign, this is describe as:
Stent
If a device is put into and left in the body to provide support for a tubular structure, we are describing a(n):
Angioplasty
When reference is made to a procedure in which surgical repair is made to sclerosed, occluded or stenotic arteries or veins with the use of inflatable ballon-tipped catheters, we are describing an:
When orthogonal is mentioned in a dictated report, this means that the views have been acquired in planes that are 90 degrees opposed to one another. When AP and lateral studies are performed (or sagittal and transverse, etc), these are by definition, orthogonal views.
Orthogonal refers to:
Morphology is defined as the science of the forms and structures of organisms; the form and structure of a particular organism, organ or part.
Morphology refers to:
A leiomyoma is a benign tumor derived from smooth muscle, most commonly the uterus. This is also called a fibroid or fibroid tumor
Leiomyomata refers to:
Positron emission tomography
PET Is an acronym for:
Intensity modulated radiation therapy
IMRT is an acronym for:
Local coverage determination
Information abounds related to specific rules regarding coding and billing for devices for Medicare and other third-party payers. One of the most important pieces of information at a local level is the:
DBT
A commonly accepted acronym for digital breast tomosynthesis is:
UGI (upper GI)
A commonly accepted acronym for a radiological examination in which barium is swallowed to allow imaging of the esophagus and stomach is:
The acronym DXA commonly refers to Dual energy X-ray Absorptiometry. Previously this may have been referred to as DEXA
DXA refers to:
A commonly accepted acronym to describe when contrast is followed from th stomach into the small intestine is SBFT, and describes a Small Bowel Follow-Through
When contrast is followed from the stomach into the small intestine, this is referred to as a:
Gastro-intestinal system
The GI system refers to:
Stomach
A gastro or gastric procedure involves imaging of the:
Colon
Intestinal (bowel) imaging procedures refer to studies of the:
Pharynx to stomach
Imaging studies of the esophagus involve filming from the:
Throat
The pharynx is another name for:
Duodenum, jejunum, and ileum
The small intestine (bowel) comprise the following portions:
Ascending, transverse, descending, sigmoid, and rectum.
The colon is comprised of the following portions:
Liver, gallbladder and ducts
Biliary studies refers studies of:
The gallbladder
GB imaging refers to imaging studies of:
Stores and secretes bile to aid in the digestion of food
The gallbladder:
In the right upper quadrant (RUQ), beneath the liver and is on the right side of the body.
The gallbladder is normally located:
Hepatobiliary system
When the sphincter of oddi is defined, it is referring to imaging studies of the:
Left. Fundus, body, and pylorus
The stomach is normally located on the ____ side and contains the following anatomy:
Without air-contrast, with air contrast and with a small bowel (I.e., small intestine) follow-through
Imaging studies of the upper GI tract can be performed:
True
True or false: Situs inversus is when organs (such as the stomach) are switched from their normal location in the abdomen or thorax to the opposite side of the body.
By definition, when reference is made to the endocrine system, this reference to ductless organs or groups of cells that secrete substances and release them directly into the circulation
By definition, when reference is made to the endocrine system, this refers to:
Thyroid, pituitary, parathyroid, thymus, adrenals, pancreas, ovaries, and testis.
Common glands found in the endocrine system include:
B. Thyroid, pituitary, and pineal
Which of the following three glands are located in the head/neck:

A. Adrenal, thyroid and pineal
B. Thyroid, pituitary, and pineal
C. Parathyroid, thyroid, and thymus
D. Pancreas, ovaries, and thyroid

True. They work together to maintain a steady level of glucose, or sugar, in the blood and to keep the body supplied with fuel to produce and maintain stores of energy.
True or false. The pancreas produces (in addition to others) two important hormones, insulin and glucagon.
Adrenal glands are also known as suprarenal glands.
Adrenal glands are also referred to as:
There are typically four parathyroid glands: two on the left and two on the right, but some anatomical variants will show some people with more or less than this number.
Typically, there are how many parathyroid glands:
B. Respiration is not regulated by glands in the endocrine system
Which of the following are not regulated by glands in the endocrine system?

A. Sexual development
B. Respiration
C. Growth
D. Metabolism

D. Oxytocin, Vasopressin, and Prolactin are just a few of the many hormones produced by the pituitary gland. Sometimes referred to as the “master gland” of the endocrine system.
Which of the following is not a hormone produced by the endocrine system?

A. Oxytocin
B. Vasopressin
C. Prolactin
D. None of the above

By definition, the cardiovascular system refers to the arteries, veins and heart
By definition, the cardiovascular system refers to the:
C. In the cardiovascular system, Veins carry oxygen-deprived blood back to the heart
In the cardiovascular system, the (choose only one):

A. Arteries carry oxygen-rich blood to the heart
B. Veins carry oxygen-rich blood to the heart
C. Veins carry oxygen-deprived blood back to the heart
D. Veins carry lymph back into the main bloodstream

C. In the cardiovascular system, Arteries carry oxygen-rich blood away from the heart
In the cardiovascular system, the (choose only one):

A. Arteries carry lymph back into the main bloodstream
B. Veins carry oxygen-rich blood away from the heart
C. Arteries carry oxygen-rich blood away from the heart
D. Veins carry oxygen-deprived blood back to the liver

The largest vessel in the arterial system is the aorta.
The largest vessel in the arterial system is the:
The major vessel in the venous system is the vena cava.
The major vessel in the venous system is the:
The chest and abdomen.
Anatomically, both the previous defined major arterial and venous structures are found in the:
Atria and ventricles
The normal heart contains four chambers. These are referred to as:
Diastole
In the resting or feeling state, the heart is known to be in:
Systole
In the pumping or contracting state the heart is known to be in:
The left subclavian, left common carotid and Innominate arteries.
When reference is made to “the great vessels of the arch,” one is describing:
The aortic arch does not give rise to a separate left common carotid.
When references is made to a bovine arch, this means that:
Ascending, arch, descendent, and abdominal
The adult aorta is comprised of the following main sections:
By the heart
The vena cava is separated into superior and inferior portions by what structure:
Antegrade
When arterial blood is flowing away from the heart, it is referred to as flowing:
Antegrade
When venous blood is flowing from the toes or fingers back towards the heart and lungs, it is said to be moving in a(n) ____ fashion:
Red cells, white cells, platelets and plasma
Blood is made up of the following:
By definition, the respiratory system refers to the group of organs who specific function is to provide for the transfer of Oxygen from the air to the blood and of waste carbon dioxide from the blood to the air.
By definition, the respiratory system refers to:
The nose, lungs, pharynx, trachea, larynx, and bronchi.
Components of the respiratory systems are:
C. Both alveoli and bronchioles
The lungs contain:

A. Alveoli
B. Bronchioles
C. Both A and B
D. None of the above

Chest x-ray
The most common way to visualize the lungs is via a(n):
PA and lateral views
Chest x-rays are routinely done in which to views:
The patient has inhaled completely with the film being taken
When referring to “inspiration” or “inspiratory” chest films, this means that:
The patient has exhaled completely with the film being taken
When referring to “expiration” or “expiratory” chest films, this means that:
The lung
Occasionally, the patient may develop blood clots that then move upwards toward the vascular system. Eventually, these clots will lodge themselves into vessels that are too small for them to fit through. One of the more common spots for these to lodge is:
An internal exam of the tracheobronchial tree via an externally placed device.
When reference is made to a bronschoscopy, this refers to:
D. The emergency room, the x-ray department, and the patients’ hospital room.
Chest x-rays can be taken in:

A. The emergency room
B. The X-ray department
C. The patients’ hospital room
D. All of the above

Inspiration
The most common way for a chest x-ray to be taken is in:
An internal exam of the tracheobronchial tree via the externally placed device
When reference is made to pneumothorax, this refers to:
Labored or difficult breathing
Dyspnea refers to:
Biopsy of the lung or pleura can be performed with the guidance of fluoro, MR, CT, and US
Biopsy of the lung or pleura can be performed under which type of guidance:
Trachea
Another name for the “windpipe” is the:
the organs concerned with production and excretion of urine and reproduction
By definition, the genitourinary (GU) system refers to:
(C) Cortex, medulla, calyx, and pelvis are the terms that may be used to describe the kidneys.
Which of the following terms may be used to describe the kidneys:

A. Cortex and medulla
B. Calyx and pelvis
C. Both A and B
D. in the thorax

retroperitoneally
The kidneys and ureters lie:
kindneys, ureters and bladder
KUB refers to:
IVP
A common exam performed via an intravenous injection of contrast to assess GU function is:
an injection through a direct stick into the renal pelvis
When antegrate pyelography is performed, this refers to:
insertion of catheter through a direct stick into the renal pelvis
A percutaneous nephrostomy (PCN) refer to:
kidney stones
Nephrolithiasis
creation of a new outlet for a ureter
A ureterostomy is a:
into the ureter, through the renal pelvis into the bladder. Can also be placed through the urethra into the bladder, into the ureter and finally into the renal pelvis.
When a radiology GU report refers to a “double-J” or “J-J” sten, this is most commonly referring to a device that has been placed:
conveys urine from the bladder to the exterior of the body
The urethra:
A cystogram is an imaging procedure of the bladder
A cystogram is an imaging procedure of the:
voiding cysto-urethrogram
A VCUG is an acronym for ______ :
X-ray and nuclear medicine
A VCUG can be performed in:
injecting contrast through a tube/catheter that has been previously placed in the renal pelvis.
A nephrostogram is accomplished by:
the boys’ framework of bones and muscles.
By definition, the musculoskeletal system is defined as:
The are axial and appendicular
From a coding perspective, the skeletal system is often referred to in two main groups, They are:
routine x-rays
When a radiology report states that “plain films” were taken of a specific are, they are referring to:
tow different views
When a report refers to an “AP and lateral study” this means that the exam was done in:
demonstrate the anatomy in question from different angles or projections and account for the possibility of one structure overlying another by positioning the patient such that this error does not occur
The main reason for doing x-ray studies in multiple projections (views) is to:
the skull
when reference is made to the radiographs of the calvarium, cranial vault or cranium, this refers to:
sinuses
When reference is made to the sphenoid, ethmoid and frontals, this is referring to:
A break of a bone oe fracture may also be further classified as pathologic, simple, transverse, spiral, longitudinal, oblique, greenstick, comminuted and compound.
A break of a bone or fracture may also be further classified as which of the following types:
foot
The tarsals, metatarsals and phalanges refer to bones in the:
hand
The carpals, metacarpals, and phalanges refer to bones in the:
heel bone
The os calcis or calcaneus are both names for which bone(s):
ankle region
The talus or astragulus are both names commonly associated with this region:
patella
The largest sesamoid bone in the body is the:
cheek
The zygoma refers to the bones of the:
sternum
The breastbone is also referred to as the:
manubrium, body and xiphoid process
The three main parts of the sternum are:
acetabulum
The socket into which the head of the femur fits into is called the:
Calvicle
Another name for the collar bone is
Scapula
Another name for the shoulder blade is:
12 bones and also known as the dorsal spine
The thoracic spine is comprised of _____ bones and also known as the ____ spine:
sacro-iliac joints
SI joints are also known as ____ joints:
ilium, ischium and pubis
The pelvis is compromised of these three bones:
the spine is comnprised of the cervical, thoracic, lumbar and sacral levels
From “top to bottom”, the spine is compromised of what levels:
in the cervical spine
The odontoid process is located where:
the ankle
When a radiologist refers to the medial and lateral malleolus, they are referring to which structure:
The anterior superior iliac spine (ASIS) ans posterior iliac spine (PSIS) are located in the pelvis region of the skeletal system
The “ASIS” and “PSIS” are located in which region of the skeletal system:
oblique, pelvis, non-displaced acetabular fractures.
A “Judet” view is a(an) ______ view of the ____ and useful for visualizing ______.
face joints, lamina, traverse and spinous processes and pedicles.
A vertebra is made up of:
Knee
When reference is made to the meniscus, what joints are they referring to:
shoulder area
When an imaging study is performed to evaulate a rotator-cuff, anatomically this exam is performed of which area:
the brain and spinal cord
By definition, the central nervous system (CNS) is composed of:
CT, MRI and NM
The brain may be imaged via:
outer-most membrane covering the brain and spinal cord
The dura mater is the:
the three membranes covering the brain and spinal cord
When reference is made to the meninges, this is referring to:
membranes covering the brain and spinal cord
The dura mater, arachnoid and pia mater are:
into the epidural space
Epidurography refers to an injection performed:
pain mangement
A type of service a radiologist may provide involving injections of anesthetics, steroids or mixtures of the two to alleviate chronic pain that a patient may have may be referred to as:
sheath
The theca space is defines as a:
contrast is injected into the subarachnoid space of the spinal canal and films taken
Myelography refers to a radiologic study in which:
contrast is injected into the subarachnoid space with films taken of the basal cistern and a radioactive material is injected into the subarachnoid space with films taken of the basal cistern
Cisternography refers to an exam in which:
a closed space, which serves as a reservoir for body fluids such as lymph or cerebrospinal fluid
A cistern is defined as:
innermost membrane covering the brain and spinal cord
Pia mater is the:
an x-ray study
Plain film radiography examination refers to:
CT, MRI, and diagnostic imaging
The diagnostic radiology section of CPT contains code choice options for:
try and determine anatomically where the film would be taken and check that section of CPT first
When trying to determine if a separate CPT code exits for a specific diagnostic radiology procedure, it is easiest to:
use the unlisted procedure code and provide specific information that defines what was done, why it was done and assign and charge representative of the work actually performed.
When a diagnostic radiology study is being performed that does not have a CPT cod that truly defines what is being done, you should:
70250
When a plain film study of the head is done and the report says, “town and both laterals were performed,” the correct CPT code to use is:
70250
If an ER patient has a portable AP and lateral skull series performed, the correct code(s) is/are:
D. All of the above
In order to correctly assign the most specific CPT code(s) for the actual procedure(s) performed, the radiology report must stipulate:

A. The anatomic site studied
B. The side of the body studied
C. The number of views taken
D. All of the above

70140-70150
If the radiology report defines filming of the zygomatic arch, this may be defined by code:
70210-70220
When an x-ray report defines films of the frontal, maxillary and sphenoid, this may be defined by which code set:
70328-70330
TMJ x-rays are defined by which codes:
70355
If reference is made in the radiology report to a panoramic (panniers) study, the code that best describes this procedure is:
70240
If an x-ray was performed to visualize the structure in which the pituitary “sits”, it would be defined by which code:
70380
If an x-ray report defines a “stone in the sublingual, submandibular or parotid,” this is defines by code:
71020
If the x-ray report states, “AP and later images taken at full inspiration demonstrate normal cardiac silhouette, apices and bases,” this is best defined by code:
71010
If the radiology report states, “single, portable upright view demonstrates normal lungs,” the correct code is:
71035
If only a lateral decubitus chest x-ray was done, the most appropriate code to define this study is:
71035
If only a apical lordotic chest x-ray was done, the most appropriate code to define this study is:
71035
If only an examination chest x-ray was performed, the most appropriate code to define this study is:
71100
If both a single view chest for rib detail and oblique rib x-ray were performed at the same time (a total of two views), the correct CPT code(s) to submit is (are):
71020-71100
If two discrete exams such as a two view chest and unilateral AP and oblique rib x-ray are performed at the same setting, the correct code(s) are:
71120
If the radiology reports defines, “following three views, the manubrium, body and xiphoid process appear normal,” this is defined by code:
72010
If an x-ray reports defines, “frontal and later films of the cervical, thoracic and lumbar spine.” this is defined by which choice:
72020
If only a later view of the T-8 was performed, which choice is correct:
D. All of the above
Code 72020 can be used:

A. When any single view is obtained of the cervical spine
B. When any single view is obtained of the thoracic spine
C. When any single view is obtained of the lumbar spine
D. All of the above

72040
When the report defines, “AP, lateral and odontoid views,” this is defined by which code:
cervical and thoracic
When a “swimmer’s view” is performed, it is referencing what portion of the spine:
72050
When after doing the AP, lateral and odontoid views, the physician is unable to clearly view the distal cervial vertebra as well as the proximal thoracic spine. The radiologist request an additional swimmers view to clearly visualize this area. The correct CPT code(s) to submit is (are):
upright and/or supine
Scoliosis studies may be performed:
72070-72080
When a radiology report references, “dorsal spine,” this correlates to which code series:
72100
When the radiology report defines, “AP, lateral and L5-S1 films were reviews,” this is represented by which choice:
done with a routine L-S spine series
The L5-S1 film is most typically:
B. submit code 72010
If AP and lateral films are performed on the cervical, thoracic and lumbar spine as a single study, you should:

A. Submit separate coeds for each anatomic area studied
B. Submit code 72010
C. Submit separate coeds for each anatomic are studied, but assign modifier -52 to each
D. None of the above

72170
When a single AP or PA view of the pelvis is done, you should use code:
72190
If the x-ray reports states, “films in the AP, LAO and RAO projections demonstrate normal iliac, ischial and pubic bones,” this is best defined by code:
two
There are how many SI joints:
distal spine
Anatomically, the sacrum and coccyx are located:
coccyx
When reference is made to a, “three-view study of os coccygis,” this is referring to x-rays of the:
73000
When reference is made to an x-ray study of the collarbone, this is defined by code:
73010
When reference is made to an x-ray of the shoulder blade, this is defined by code:
skull
When an x-ray report uses a phrase such as, “the fontanelles are incompletely ossified,” this refers to x-rays of the:
73030
If an x-ray is performed in an AP, lateral and oblique fashion of where the head of the humerus joins the scapula, this is defined by code:
the calvicle joins the scapula
When the radiographs are performed of the A-C joints, this is anatomically where:
73070-73080
When a radiology report defines the filming of the joint of the humerus and radius/ulna, they are referring to which code set:
elbow
When the term, “olecranon process,” is mentioned, we commonly think of this as the:
73090
Together, the radius and ulna make up this structure defined by this code:
wrist
When a radiology report defines bones such as the hamate, triquetrium, lunate or pisiform, it is defining the:
wrist
When mention is made of the “carpus,” they are referring to the:
Hand
The metacarpals and phalanges make up this structure:
73130(x2)
When a 3 view x-ray of the right and left hand are ordered, performed and reported, the correct way (excluding modifiers) to code for this study is:
73140
When AP, lateral and oblique x-rays of the 3rd, 4th, and 5th fingers are ordered and performed, the correct way to code for this study is:
73500
When an x-ray reports defines, “A single AP view of the left formal head and acetabulum,” the study being performed is:
73510
When an x-ray report states that, “AP and lateral views are performed on the right hip” the correct CPT code is:
72170 and 73500
When a separate full and complete AP pelvis and single lateral view of one hip is ordered, performed and reported, the correct method in which to code for this service is:
73520
When a separate AP pelvis is performed followed by two separate views of each hip, the correct method to code for these studies is:
73550, 73550-76-52 (in addition to the -26 modifier).
If at first both AP and lateral femur study are performed on an ER trauma patient, and following the reading of the initial films it is determined that there is a femoral fracture, so this is then reduced and re-studied (and read by the same radiologists), but this time in only the AP projection, how should this situation be coded (in addition to the -26 modifier)?
The study should be billed (all scenarios already include modifier -26) using the code CPT provides, but also assigning the modifier -52.
While an anatomic site-specific CPT code exist but the initial plain film study is performed in a fashion where less than the number of views stated in the verbal description are taken, how should the study be billed (all scenarios already include modifier -26)?
the patella/knee and code 73560 should be assigned.
If an x-ray report describe a single “sunrise” viewm which anatomical area are they defining and what code would be assigned:
73564(x2), 73564-50 or 73564-LT, 73564-RT, depending on payer requirements.
When an AP, lateral and both obliques of both knees were performed, the most appropriate way to code for this study would be:
D. all of the above
As a whole, recent changes in CPT descriptions for diagnostic radiology procedures have:

A. Switched the emphasis from the name of the view(s) to the number of the view(s)
B. Become more generic
C. Provided greater latitude from a code selection perspective
D. All of the above

73560-50
If a bilateral AP standing as well as a bilateral lateral knee studies were ordered, performed and reported, the most appropriate manner in which to charge for this service would be:
lower leg, 73590
When the radiology reports states that “there were fractures in both the AP and lateral films of both the tibia and fibula.” this is defining a study of the:
ankle
When the radiologist states, “mortise views” were taken, anatomically, they are defining the:
ankle
When the radiology report uses phrases such as “external, lateral or outer malleolus” or “internal, medial or inner malleolus,” they are referring to films of the:
foot, 73630
If the radiology report describes, “AP, lateral and oblique films of the left metatarsals and phalanges,” this is anatomical defining an x-ray of the:
73620-52
If a single view of the foot was performed, the correct way to code for this procedure is:
heel, 73650
When the radiology report describes x-rays of the os calks, they are referring to the:
73660-52
If a single view was obtained of the left great toe, the correct method to code would be:
Abdomen, 74000
If a radiology report describes a “KUB” or “flat-plate” exam, they are defining the:
abdomen, 74020
When the terminology “flat and upright” or “flat and deuce” is seen in a report, this is defining the:
74020
If a “flat, upright and deuce” x-ray series is performed, this refers to code:
74020 and 71020
When, at the same setting, a two views chest x-ray and a two view abdomen study is done, this is coded as:
74010-52
Per American College of Radiology (ACR) and American Medical Association (AMA) instructions, if performing an AP and lateral view of the abdomen, the correct CPT code(s) to submit for this procedures is(are):
74022
When, at the same setting, a single view chest x-ray and two view abdominal study is done, this is coded as:
74230
Occasionally, different consistencies of food will be given to a patient, and while the patient chews this food and as it passes from the mouth into the stomach, films are taken and/or this is captured on videotape. This procedure is defined but the code:
74240-74249 series
After a patient has sipped barium, and this is observed as it flows down the esophagus into the stomach with subsequent “spot” films as well as overhead films of the stomach, this is defined by codes in the:
esophagus, 74220
When oral contrast material is given and as the patient drinks and swallow this material, films are taken of the material as it flows down the throat into the stomach, this procedure is an exam of the:
74210
When only the upper portion of the esophagus, the correct CPT code for this procedure is:
not be charged separately as it is inherent in this study
When upper GI studies (UGI) are performed in addition to coding for films taken, fluoroscopy should:
dived into twi main groups (i.e, those performed with air contrast and those performed without air contrast)
UGI studies are:
with to without air
The two main methods in which upper GI’s may be performed are:
D. all of the above
When charging for UGI studies, correctly coed for the procedure, you must know:

A. What types of contrast were used
B. Did the exam include a KUB
C. Did the exam include films of the small intestine (bowel)
D. All of the above

small intestine (bowel) follow-through
When the report describes, “SBFT”, this means:
74249
If both an air-contrast UGI and SBFT are performed on the same patient on the same DOS, the correct method to code for this study is:
C. Appropriate to charge only for the small intestine
When a patient has a small intestine (bowel) study, it is:

A. Correct to code and charge for separate abdomen x-rays as this patient continues to return throughout the course of the day for multiple follow-up films.
B. correct to charge separately for both the floor and small intestine (bowel) study, but not the abdomen x-rays
C. Appropriate to charge only for the small intestine (bowel) study as this includes all serial (delayed) films
D. None of the above

B. Code 74251 and the appropriate RS&I and surgical code for placement of the tube
When a small intestine (bowel) studies are performed via a tube placed by the radiologist prior ro the performance of the study, the charging should reflect:

A. only code 74251 as this includes tube placement
B. Code 74251 and the appropriate RS&I and surgical code for placement of the tube
C. Code 74250 only
D. None of the above

74270-74280
When a radiologist report defines a “BE” or “AC BE”, this is referring to codes:
not be charged separately as it is included in the procedure
When performing barium enema exams, if a film of the abdomen is also done, this should:
oral cholecystogram (gallbladder study)
This study, sometimes referred to as an OCG, has been more or less replaced by US imaging or nuclear medicine imaging, OCG refers to:
A. Bill the appropriate code from the 74328-74330 series
When ERCP studies are performed, the coding for this procedure may include separate components dependent on what is actually performed. If the radiologist both supervises and interprets the study, (but does not perform any of the surgical component of the procedure), they may:

A. Bill the appropriate code from the 74328-74330 series
B. Bill the appropriate code from the 74328-74330 series and 76000
C. Bill the appropriate code from the 74328-74330 series and 76001
D. None of the above

74340-44500
When a radiologist places a GI tube that extends into any portion of the small bowel, this is coded as:
74400, 74410, or 74415 depending upon the method performed
When and intravenous pyelogram (IVP) is performed, the correct code for this procedure may be:
D. not coded separately as this is an inherent part of the study
When performing an IVP, contrast is injected intravenously. This is:

A. coded separately with code 36005
B. coded separately with code 90784
C. coded separately with code 36000
D. not coded separately as this is an inherent part of the study

D. all of the above
Code 76000, fluoroscopy (separate procedure) up to one hour:

A. Should be coded whenever used only by itself
B. Should not be coded when used in conjunction with angiography, pyelography, UGI or barium enema studies
C. Is defined by the AMA as not to be separately billable when it is considered an internal component of the procedure.
D. All of the above

76010
When using a plain film to radiographically evaluate a child to determine if there is atypical material or substance inside of them, the correct code is:
74000 and 71010
When performing a single film to include both an AP chest and AP abdomen, the correct method to bill for the professional interpretation of this/these service(s) is/are:
77072
When a single view of the hand and wrist are performed of a child to assess the physical development status of the child, the correct code is:
74420
When contrast material is instilled into the bladder via a catheter with subsequent films taken to check the ureters and renal collecting system, this is described by code:
skull, spine, pelvis and extremities
A complete bone survey will include films of the:
YES see book
When dual energy x-ray absorbtiometry (DXA) studies are performed, they may be of both the axial or appendicular skeleton. If sites are ordered, films and read from each area, they may both be coded if imaged using the same modality:
breast
When a galactogram is performed, this refers to a study of the:
A. True
Diagnostic mammography codes may be used for both male and female patients:

A.True
B.False

A.May be billed along with the screening with the modifier -GG on the diagnostic code only
On a Monday, a patient presents from her doctor’s office for her annual screening mammogram, Following the review of the films, the radiolgist determines the additional special magnification films need to be done one the same day based upon results of the screening, The diagnostic study:

A.May be billed along with the screening with the modifier -GG on the diagnostic code only
B. May be billed along with the screening, but both should have the -GG modifier assigned
C. Maybe be billed instead of the screening
D. May be billed instead of the screening with the -GH modifier assigned

D. all of the above
Direct digital mammography is defined by code:

A. G0202
B. G0204
C. G0206
D. All of the above

B. False
Screening mammography codes may be used for both male and female patients”

A. True
B. False

B.False
When performing bilateral retrograde pyelograms, it is correct coding to submit the code with any of the following: with two units, once with the -50 modifier, or twice (once with -LT and one with -RT).

A. True
B. False

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