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AAPC chapter 17
Radiology
Question | Answer |
---|---|
Oblique: x ray beam enters at an ____, neither frontal or lateral. | angle |
If CXR is done as part of preventative measure it's coded with ____ code. | Z |
CXR: repoted with or without ____ findings. Z codes used when pt requires _____ for surgery. | abnormal, clearance |
If s/s is only diagnosis documented report s/s as diagnosis for _____ service. | radiology |
When test is ordered for s/s and the test outcome is _____ with no confirmed diagnosis, report the s/s that prompted the test. | normal |
If radiologist interperets the radiology test and the final report is _____ at time of coding, report the confirmed _____ based on the report. | available, diagnosis |
For Rule out or questionable diagnosis: if the report has not been _____ and a final diagnosis given, query the physician to obtain the s/s for the _____ test. | read, ordered |
Occasionally the radiologist will find something they weren't looking for on the X ray: Incidental finding and reported with ____ diagnosis, not used as primary diagnosis. | additional |
Most unlisted procedures end in ____, some radiology codes end in 96, 97, 98. | 99 |
Unlisted procedures: make sure to submit claim and ____ procedure is medically neccessary. | reason |
Supervision and Interpretation (S&I) codes: when procedure requires radiological guidance, code from the surgery or ____ section is reported along with S&I code from ______ section. | medicine, radiology |
S&I codes: can have modifier ____ for the professional component or TC for technical component. | 26 |
Administration of contrast material: substance or material that lights up to be visualized. Oral or ____ contrast admin alone doesn't qualify as a study "with contrast. " | rectal |
With contrast: IV, Intra-articularly (in a joint) or ______ (spinal/vertebral). | intrathecally |
If w/o contrast tst followed by a with contrast: _____ code to report both sets of images. | single |
Contrast is not included in radiological procedures and can be reported separately- usually with HCPS code to identify _____ used. | substance |
Films unreadable, improperly positioned, or underdeveloped are considered _____ error and not coded. | operator |
Radiologic arthrography: flouroscopy is _____ in these codes. | included |
When coding diagnostic radiology: determine: anatomic location, ____ of radiology used, # of views, type of views taken, and if _____ was used. | type, contrast |
When coding doppler study: there _____ be a permanent record of the images and written report. | must |
Some ultrasound anatomic regions have _____ and limited codes. | complete |
CAD: computer aided ______. | detection |
Digital breast tomosynthesis: takes multiple images and produces ____ image of breast. This is add on code when used with mammogram screening. | 3D |
Ductogram/glactogram: imaging of _____ in the breast | ducts |
Dual energy X ray absortionmetry: _____ scan. | DEXA |
When pt 1st visits radiation oncologist, consultation to determine if radiation will ____ pt. This is reported with E/M, medicine or ____ codes. | benefit, surgical |
Radiation treatment: reported in utis of ____ fractions or treatment sessions | 5 |
Stereotactic radiation treatment: radiation surgery, radiosurgery, stereotactic external-beam. Not actually surgery, it's large radiation ____ to tumors in the brain. | doses |
Proton beam treatment: codes based on ____ of ports and blocks used. | number |
Nuclear medicine codes: selected based on the ____ performed. | test |
HCPCS: for PET scan- when Medicare pt recieves it for _____. | melanoma |
Most common modifiers (radiology): TC (technical component) and ____ (professional component) | 26 |
When facility owns the _____ and employs radiologist: bill for both Technical and _____ component. | equipment, professional |
When office owns equipment, _____ X ray, provides report: bill global procedure, no _____ appended. | reads, modifier |
Cineradiography: radiology of an organ in ____. | motion |
Portography: X ray of _____ circulation. | portal |