Deck 12: Radiology

Question 1

The patient with possible brain damage received a functional MRI of the brain with administration of repetitive body part movements and visual stimulation. Due to the type of brain injury, the physician was required to administer all of the neurofunctional tests. The physician reviewed the test results and reported his findings to the patient's primary care physician. What is the correct code for this visit?

A)96020, 70554
B)96020, 70555
C)96020
D)70555

Answer 1

B
The correct code for this visit is 96020 (Neurofunctional Testing Selection and Administration During Non-Invasive Imaging Functional Brain Mapping, with Test Administered Entirely by a Physician, with Review or Test Results and Report) and 70555 (Magnetic Resonance Imaging, Brain, Functional MRI; Requiring Physician or Psychologist Administration of Entire Neurofunctional Testing).The physician administered the entire tests, therefore the correct code is 70555 not code 70554. In parenthesis, under the code, there is a note that states that code 96020 can only be used with code 70555.

Question 2

The patient is being evaluated for spinal curvature problems of the lower back. She has been sent to the radiologist for a set of spinal x-rays. The radiologist takes x-rays from 4 different views of her spine (standing straight, bending forward and from each side) along with three additional views. These films are sent to the patient's PCP for interpretation and report. What code should the radiologist report?

A)72114 -TC
B)72110 -TC, 72120 -TC
C)72114
D)72110, 72120

Answer 2

A
The only code that the radiologist should report would be 72114 (Radiologic Examination, Spine, Lumbosacral; Complete, including Bending Views, Minimum of 6 Views) with modifier -TC appended. Modifier -TC indicates that the procedure consisted of taking the x-rays only and not the interpretation of the x-rays. The radiologist sent the x-rays to the patient's PCP for interpretation; therefore the only part of this service that was provided was the technical portion.

Question 3

The patient was given an MRA of the pelvis with and without contrast material. What is the correct code for the procedure?

A)72195, 72196
B)72196
C)72198
D)72197

Answer 3

C
The correct code for the procedure is 72198 (Magnetic Resonance Angiography, Pelvis, With or Without Contrast Materials). All of the other codes listed in the question are used for a magnetic resonance imaging (MRI) not a magnetic resonance angiography (MRA).

Question 4

A 38-year-old female patient with severe endometriosis received a CT scan of the pelvis and the abdomen with and without contrast. What radiology code should be reported?

A)74176, 74177
B)74178
C)74170, 72194
D)74177

Question 5

A 65-year-old female patient with atherosclerosis receives an abdominal aortography via serialography. The patient's cardiologist reviews and interprets the findings. What is the appropriate code for this service?

A)75625
B)75625 -26
C)75605
D)75630

Question 6

Radiation oncology codes consist of a specialized portion of radiology codes that are used to report which of the following?

A)Radiation services provided by oncologists
B)Radiology services that are used to treat benign neoplasms
C)Radiological services that are used to deliver radiation treatments to tumors
D)Radiation services that are provided in hospitals

Question 7

ONCOLOGY CLINIC NOTE PATIENT NAME: Watts, Douglas
AGE: 15
DATE: 07/08/2014
DIAGNOSIS: Mantle Cell Lymphoma in the Neck
TREATMENT: Clinical Treatment Planning stage I including simulation of treatment
The patient was recently diagnosed with mantle cell lymphoma in the neck. He was seen in the clinic today for the first stage of clinical treatment planning. The patient's first step is to start radiation treatments. Due to the mild nature of the lymphoma, planning will focus on a single treatment area, with a single radiation port and no blocking. The primary care oncologist agrees that this focus is the best way to manage the malignancy before it progresses. No further aggressive treatments are necessary at this time. The patient and his family also agree that this will be a sufficient means of treatment at this time. Simple simulation of single treatment area was completed and the treatment plan seems sufficient.
The patient is scheduled to return to the clinic in two days, after dosimetry calculations have been completed and the total length of time for the radiation treatment has been calculated.
What is the correct code for this service?

A)77263, 77280
B)77262, 77280
C)77261, 77280
D)99215, 77280

Question 8

ONCOLOGY CLINIC NOTE PATIENT NAME: Watts, Douglas
AGE: 15
DATE: 07/10/2014
DIAGNOSIS: Mantle Cell Lymphoma in the Neck
TREATMENT: Dosimetry
A physician recommends clinical treatment planning, simple simulation of treatment, basic radiation dosimetry calculations (including central axis depth calculation, TDF, NSD, gap calculation, off-axis factor, and calculation of non-ionizing radiation surface) and depth dosing during clinical treatment planning. The amount of radiation is calculated and blocked to protect the remaining healthy tissues in the neck, shield the rest of the body from radiation, determine the dosage delivery and fractionate the radiation into treatments. The patient is scheduled to receive three treatments (once per week for the first two weeks) and once per month for the next three months. An simple treatment device delivers the required dosage to the port.
What is the correct code for this procedure?

A)77300, 77332 -51
B)77301, 77332 -51
C)77300
D)77301, 77333

Question 9

A young woman with right lower abdominal pain and history of ovarian cysts is ordered to have a transvaginal ultrasound to rule out ovarian cyst as the cause of her pain. What is the correct CPT code for this diagnostic ultrasound?

A)76801
B)76830
C)76856
D)76857

Question 10

A pregnant woman needs to have a fetal echocardiogram performed. This will be done in real time with image documentation (2D) with M-mode recording. What is the correct code for this procedure?

A)76820
B)76825
C)76826
D)76827

Question 11

A patient needs to have an epidural and, due to compressed discs, this procedure is done under fluoroscopic guidance. What is the correct code for this type of fluoroscopic procedure?

A)77002
B)77003
C)77011
D)77012

Question 12

A patient undergoes magnetic resonance guidance for needle placement for placement of a localization device. What is the correct code for this procedure?

A)77011
B)77012
C)77021
D)77022

Question 13

A physician orders a fluoroscopic guidance for needle placement to aspirate a small, possibly malignant lesion on a patient's liver. What is the code for this type of radiologic guidance procedure?

A)77001
B)77002
C)77003
D)77011

Question 14

A 56-year-old woman is undergoing a bilateral screening mammogram. What is the correct code for this procedure where there is computer-aided detection?

A)77054
B)77056
C)77057
D)77057, 77052

Question 15

A patient has a breast lump that has been assessed by her gynecologist, who scheduled her for a bilateral mammogram. What is the correct code for this procedure, given that it is not a screening mammogram, because there is a known problem?

A)77055
B)77056
C)77057
D)77058

Question 16

A patient has to have a right-sided digital breast tomosynthesis. What is the correct code for this procedure?

A)77058
B)77061
C)77062
D)77063

Question 17

A patient is given an order for bone age studies. What is the correct CPT code for this procedure?

A)77072
B)77073
C)77074
D)77076

Question 18

What is the correct code for computed tomography for a bone mineral density study of the axial skeleton?

A)77077
B)77078
C)77080
D)77086

Question 19

A patient is scheduled for a vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA). What is the correct code for this procedure?

A)77078
B)77080
C)77086
D)77084

Question 20

A patient needs to have static liver imaging performed with vascular flow. What is the correct CPT code for this procedure?

A)78195
B)78199
C)78201
D)78202

Question 21

A young patient with recurrent urinary tract infections is having a radiopharmaceutical voiding cystogram performed, also known as a ureteral reflux study. What is the correct CPT code for this procedure?

A)78700
B)78725
C)78740
D)78799

Question 22

An athlete was seen in the emergency department for sudden onset of testicular pain and swelling after playing basketball. A testicular imaging with vascular flow study is ordered. What is the correct code for this particular nuclear medicine procedure?

A)78700
B)78740
C)78761
D)78799