Deck 24: Radiology

Question 1

Radiology codes designated as a "separate procedure" should be reported in addition to the code for the total procedure or service.

Answer 1

False

Question 2

It is acceptable for the radiologist to communicate his/her opinion via telephone instead of a written report.

Answer 2

False

Question 3

What are the radioisotopes that attach themselves to red blood cells called?

A)isotope
B)MeV
C)dosimetry
D)tracer

Answer 3

tracer

Question 4

There are four subheadings in the Radiology section.

Question 5

The procedure is a placement of a stent into a bile duct, percutaneous of existing access.Fluoroscopic guidance was performed with radiological supervision and interpretation.

A)47538
B)47539
C)47540
D)none of the above

Question 6

A ____ procedure is one that is performed independently of, and not immediately related to, another service.

A)separate
B)multiple
C)closed
D)conformal

Question 7

What is the name of the high-frequency sound waves in an imaging process that is used to diagnose patient illness?

A)ultrasound
B)radionuclide
C)MRI
D)radiography

Question 8

According to CPT Guidelines, Radiation Oncology codes include normal follow-up care during the course of treatment and ________ following its completion.

A)includes 1-month global period
B)includes 3-month global period
C)is based on third-party payer
D)includes no global period

Question 9

The divisions of the Radiation Oncology section of the CPT manual are divided into subsections based on what?

A)supervision and interpretation
B)type of service
C)duration of treatment
D)condition of the patient

Question 10

What is the standard measure of energy in radiation treatment?

A)wattage
B)dosimetry
C)MeV
D)kilovolt

Question 11

A needle with a suture attached is passed through an incision into the stomach.The needle is snared and removed via the mouth.A gastrostomy tube is connected to the suture and passed through the mouth into the stomach and out the abdominal wall.What is the correct code for this procedure?

A)74230
B)74340
C)49440
D)none of the above

Question 12

Two-dimensional ultrasonic scanning procedure with a two-dimensional display is the definition of ____________________ (include hyphen in answer) diagnostic ultrasound.

Question 13

What is the modifier used to identify the technical component of a radiologic procedure?

A)-26
B)-25
C)-TC
D)-32

Question 14

Echoencephalography, real time with image documentation, including A-mode encephalography as a secondary component.
CPT Code ____________________

Question 15

The modifier reported when a physician component is reported separately is:

A)-25
B)-26
C)-TC
D)none of the above

Question 16

The phrase "with contrast" represents contrast material administered intravascularly, intra-articularly, or intrathecally.

Question 17

Ultrasound bone density measurement and interpretation, peripheral sites, any method.
CPT Code: ____________________

Question 18

Codes 76801 and 76802 include determination of the number of gestational sacs and fetuses, gestational sac/fetal measurements appropriate for gestation <14 weeks 0 days, and:

A)survey of visible fetal and placental anatomic structure
B)qualitative assessment of amniotic fluid/gestational sac shape
C)examination of the maternal uterus and adnexa
D)all of the above

Question 19

____________________ means lying down.

Question 20

In clinical brachytherapy, the supervision of radio elements and dose interpretation are performed by the therapeutic ____________________ (two words).

Question 21

Analysis for a urea breath test.
CPT Code: ____________________

Question 22

Cardiac blood pool imaging, first pass technique, multiple studies, with stress, with wall motion study plus ejection fraction without quantification.
CPT Code: ____________________

Question 23

Urography, retrograde with KUB.
CPT Code: ____________________

Question 24

Supervision and interpretation of a hysterosalpingography.
CPT Code: ____________________

Question 25

Chest x-ray, two views, frontal and lateral.
CPT Code: ____________________

Question 26

A cardiac magnetic resonance imaging for morphology and function without contrast.
CPT Code: ____________________

Question 27

Bilateral diagnostic mammography for a patient whose previous screening mammogram showed areas of suspicious infiltrate.
CPT Code: ____________________

Question 28

CT scan of brain without contrast medium enhancement.
CPT Code: ____________________

Question 29

Cerebrospinal fluid leakage detection and localization.
CPT Code: ____________________

Question 30

One MeV of radiation treatment delivery, simple.
CPT Code: ____________________

Question 31

Liver imaging with vascular flow.
CPT Code: ____________________

Question 32

Unlisted ultrasound procedure.
CPT Code: ____________________

Question 33

Renal venography, unilateral, selective, supervision, and interpretation.
CPT Code: ____________________

Question 34

One MeV intermediate radiation treatment, single treatment area.
CPT Code: ____________________

Question 35

Transvaginal ultrasound of a pregnant uterus using real-time image documentation.
CPT Code: ____________________

Question 36

Complete x-ray examination of right internal auditory meatus.
CPT Code: ____________________

Question 37

Radiologic examination, nasal bones, complete, minimum of three views.
CPT Code: ____________________

Question 38

Follicular study, ultrasound of the pelvis nonobstetric, B-scan, and real time with image documentation follow-up.
CPT Code: _____________________

Question 39

Parathyroid imaging.
CPT Code: ____________________

Question 40

Two-view chest x-ray film, frontal and lateral.
CPT Code: ____________________

Question 41

Match each term with the correct phrase below.
The application of ultrasonic waves for diagnostic imaging of internal structures

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 42

Match each term with the correct phrase below.
X-ray photograph of the spinal cord following administration of radiopaque substance into the subarachnoid space

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 43

Match each term with the correct phrase below.
Measurement of the diameters of the female pelvis, esp.the birth canal

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 44

Saline infusion sonohysterography with color-flow Doppler.(Report only the radiographic portion of the service.)
CPT Code: ____________________

Question 45

Match each term with the correct phrase below.
Also known as PET scan, it measures metabolic or biochemical activity of the brain and other organs by tracking its movement and concentration

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 46

Match each term with the correct phrase below.
X-ray of the blood vessels following injection of radiopaque substance

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 47

Magnetic resonance angiography of chest without contrast medium enhancement.
CPT Code: ____________________

Question 48

Real-time chest ultrasound, including mediastinum.
CPT Code: ____________________

Question 49

Location: Outpatient Hospital
RADIOLOGY REPORT
EXAMINATION OF: MRI of brain with contrast
CLINICAL SYMPTOMS: Slurred speech, right arm weakness
MAGNETIC RESONANCE EXAMINATION OF THE BRAIN was performed prior to contrast utilizing T1-weighted sagittal views as well as spin density and T2-weighted sequences in the axial plane.These were supplemented with axial T1-weighted sequence following intravenous infusion of paramagnetic contrast material.Diffusion sequence was also performed.
In the spin density and T2-weighted sequences (images 17 and 18 of series 3), there is a small localized area of occipital cortex that shows increased intensity.This is also bright in the diffusion sequence.This area is not hyperintense in the ADC map.
I do not appreciate significant abnormal increased or decreased intensity within brain parenchyma of the remainder of the supratentorial brain.However, there is bilateral irregularly shaped increased intensity within the pontine tegmentum.This is not hyperintense in the diffusion sequence.
Ventricles are of normal size.Normal gray-white matter delineation.No abnormal contrast enhancement of brain parenchyma.
IMPRESSION: Small hyperintense area of the cortex of the right occipital lobe, as described above.This is also hyperintense in the diffusion sequence but not in the ADC map.This would indicate that this represents limited subacute infarction.I do not appreciate other areas of subacute infarction.Remainder of supratentorial portion of the brain is unremarkable.
Hazy increased intensity within the pontine tegmentum.This is not unusual in the older age group (8th and 9th decades) and is sometimes thought to represent evidence of microvascular ischemic change.However, it is rarely indeterminate.In this case, I do not appreciate evidence of enlargement of the brainstem, nor is there abnormal enhancement to suggest neoplasm.I cannot elucidate further.
CPT Code: ____________________

Question 50

X-ray shoulder arthrography, supervision and interpretation only.
CPT Code: ____________________

Question 51

Match each term with the correct phrase below.
X-ray of the bile ducts using radiopaque contrast

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 52

Location: Outpatient Hospital
RADIOLOGY REPORT
EXAMINATION OF: X-ray of left ankle
CLINICAL SYMPTOMS: Charcot joint
LEFT ANKLE RADIOGRAPHS, 2:05 PM: Three views submitted of the left ankle.No prior studies.There is some soft tissue swelling adjacent to the distal fibula.Plantar caliectasis spurring is seen.There are radiopaque densities seen along the plantar aspect of the foot, including hindfoot and midfoot.Question if there is overlying bandage with radiopaque densities or that could relate to soft tissue calcifications.Suggest clinical correlation.No obvious acute fracture or dislocation is seen.Suggest clinical correlation regarding further assessment of the foot with left foot radiographs.
CPT Code and modifier: ____________________

Question 53

Location: Hospital
RADIOLOGY REPORT
EXAMINATION OF: Retroperitoneal sonogram, kidneys
CLINICAL SYMPTOMS: Elevated creatinine
RETROPERITONEAL SONOGRAM, KIDNEYS: Findings: The right kidney measures 12.6 x 5.4 x 5.0 cm.The cortex is thinned diffusely.The left kidney is smaller, measuring 10.0 x 5.1 x 3.9 cm.The cortex is preserved.There is a 1.5 cm cyst seen anteriorly in the interpole region on this side.Bladder not well evaluated as the catheter is in place.There is mild prominence of the right proximal collecting system relative to the contralateral side in spite of the empty bladder.Cannot exclude mild caliectasis on this side.Also, cortical thinning suggests chronic renal insufficiency.
CPT Code: ____________________

Question 54

X-rays, two views per side, mastoids.
CPT Code: ____________________

Question 55

Location: Outpatient Clinic
RADIOLOGY REPORT
BILATERAL SCREENING MAMMOGRAM:
The tissue of both breasts is heterogeneously dense.This may reduce the sensitivity of mammography.No significant masses, calcifications, or other findings are seen in either breast.
IMPRESSION: NEGATIVE MAMMOGRAM
There is no mammographic evidence of malignancy.A 1-year screening mammogram is recommended.
CPT Code: ____________________

Question 56

Match each term with the correct phrase below.
Noninvasive diagnostic technique that produces a cross-sectional image of organs and other internal body structures

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 57

Match each term with the correct phrase below.
X-ray of the vein or veins following injection of a radiopaque substance

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 58

Selective spinal angiography, supervision and interpretation.
CPT Code: ____________________

Question 59

Complete abdominal ultrasound using real time with image documentation.
CPT Code: ____________________

Question 60

Epididymography, supervision and interpretation only.
CPT Code: ____________________

Question 61

Match the following terms of position to the correct definition.
inferior

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal

Question 62

Match the following terms of position to the correct definition.
medial

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal

Question 63

Match each term with the correct phrase below.
Also known as a CAT scan, this technique allows safe, painless, and rapid diagnosis in previously inaccessible areas of the body

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 64

Match each term with the correct phrase below.
X-ray visualization of lymph vessels and nodes following injection of a contrast material

A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography

Question 65

Match the following terms of position to the correct definition.
posterior (dorsal)

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal

Question 66

Match the following terms of position to the correct definition.
lateral

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal

Question 67

Match the following terms of position to the correct definition.
anterior (ventral)

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal

Question 68

Match the following terms of position to the correct definition.
superior

A)toward the midline of the body
B)toward the head or the upper part of the body; also known as cephalad or cephalic
C)in front of
D)away from the midline of the body (to the side)
E)in back of
F)away from the head or the lower part of the body; also known as caudad or caudal