RADIOLOGY SAMPLE QUESTIONS - 001

               

1. A patient with colon cancer receives seven radiation treatments. During the course of the treatments, the physician views the port films, reviews the treatment parameters, and assesses the patient’s response to the treatment. Code for the radiation treatment management.

A. 77427

B. 77431 x 4

C. 77427 x 2

D. 77427, 77431

2. A 78-year-old with lower back pain and leg pain is scheduled for an MRI of lumbar spine without contrast. Following the MRI, the patient is diagnosed with spinal stenosis of the lumbar region. What are the procedure and diagnosis codes?

A. 72020, M54.5, M79.609, M48.00

B. 72149, M54.9

C. 72148, M48.06

D. 72158, M54.5, M79.609

3. The physician orders an ultrasound on a patient 25 weeks pregnant with twins to access fetal heart rate and fetal position. Select the code(s).

A. 76805, 76810

B. 76811, 76812

C. 76816 x 2

D. 76815

4. Due to an elevated CEA level two years following a colon resection, the patient’s oncologist ordered a diagnostic liver ultrasound. Code this encounter.

A. 76700

B. 78226

C. 76705

D. 76970

5. The physician orders a heart CT without contrast. The tests will evaluate the amount of coronary calcium. What is the correct code?

A. 75571

B. 75572

C. 75574

D. 75557

6. A 42-year-old has a lesion on his pancreas. The physician passes the biopsy needle through the skin and removes tissue to be sent to pathology. Fluoroscopic guidance is used to obtain the biopsy. Code this encounter.

A. 48100, 77002

B. 48102, 77002

C. 48120, 76942

D. 48102, 76942

7. 56-year-old female is having a bilateral mammogram with computer aid detection conducted as a screening since the patient has had a previous cyst in the right breast. What radiological services are reported?

A. 77065

B. 77066

C. 77067

D. 77066, 77067

8. 63 year-old patient with bilateral ureteral obstruction presents to an outpatient facility for placement of a right and left ureteral stent along with an interpretation of a retrograde pyelogram. What codes should be reported?

A. 52332, 74000

B. 52332-50, 74420-26

C. 52005, 74420

D. 52005-50, 74425-26

9. This gentleman has localized prostate cancer and has chosen to have complete transrectal ultrasonography performed for dosimetry purposes. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous placement of 1-125 seeds. Select the appropriate codes for this procedure.

A. 55860, 76942-26

B. 55875, 76965-26

C. 55860, 76873-26

D. 55875, 77778-26, 76965-26

10. 76-year-old female had a ground level fall when she tripped over her dog earlier this evening in her apartment. The Emergency Department took x-rays of the wrist in oblique and lateral views which revealed a displaced distal radius fracture, grade I open right wrist. What radiological service and ICD-10 codes should be reported?

A. 73100-26, S52.509B, W18.49XA,Y92.099

B. 73110-26, S52.509B, W18.49XA,Y92.099

C. 73115-26, S52.509A, W18.49XA,Y92.099

D. 73100-26, S52.509A, W18.49XA,Y92.099

11. A CT density study is performed on a post-menopausal female to screen for osteoporosis. Today’s visit the bone density study will be performed on the spine. Which CPT code should be used?

A. 77075

B. 77080

C. 77078

D. 72010

12. 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

13. 53-year-old woman with ascites consented to a procedure to withdraw fluid from the abdominal cavity. Ultrasonic guidance was used for guiding the needle placement for the aspiration. What CPT codes should be used?

A.49083

B.49083, 76942

C.49082, 76942

D.49020

14. This 69-year-old female is in for a magnetic resonance examination of the brain because of new seizure activity. After imaging without contrast, contrast was administered and further sequences were performed. Examination results indicated no apparent neoplasm or vascular malformation.

A. 70543-26, R56.00

B. 70543-26, R56.9

C. 70553-26, R56.9

D. 70553, G40.909

15. This patient undergoes a gallbladder sonogram due to epigastric pain. The report indicates that the visualized portions of the liver are normal. No free fluid noted within Morison’s pouch. The gallbladder is identified and is empty. No evidence of wall thickening or surrounding fluid is seen. There is no ductal dilatation. The common hepatic duct and common bile duct measure 0.4 and 0.8 cm, respectively. The

common bile duct measurement is at the upper limits of normal.

A. 76700-26, R10.84

B. 76705-26, R10.13

C. 76775-26, R10.33

D. 76705, R10.84

16. EXAMINATION OF: Chest

CLINICAL SYMPTOMS: Pneumonia.

PA AND LATERAL CHEST X-RAY .

CONCLUSION: Ventilation within the lung fields has improved compared with previous study.

A. 71046-26, J15.8

B. 71048, J15.6

C. 71046-26, J18.9

D. 71046, J18.9

17. 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. 74160-26, R18.8

B. 74150-26, J90

C. 74150, J90

D. 74160, R18.8

18. EXAMINATION OF: Brain.

CLINICAL FINDING: Headache.

COMPUTED TOMOGRAPHY OF THE BRAIN was performed without contrast material.

FINDINGS: There is blood within the third ventricle. The lateral ventricles show mild dilatation with small amounts of blood.IMPRESSION: Acute subarachnoid hemorrhage.

A. 70460-26,R51

B. 70250,R51

C. 70450-26,I60.9

D. 70450-26,R51

19. EXAMINATION OF: Right hip.

DIAGNOSIS: Osteoarthritis right hip.

ONE-VIEW RIGHT HIP: A single frontal view is obtained of the right hip. No previous studies are available for comparison. Right hip arthroplasty is seen. Alignment appears grossly unremarkable on this single view. There are skin staples present. Air is seen in the soft tissues, likely due to recent surgery. There appear to be two drains present. The tip of one overlies the soft tissues superolateral to the greater trochanter. The

second one is more inferior. The tip overlies the right proximal femoral prosthesis.

IMPRESSION: Single view of the right hip with findings consistent with recent right total hip arthroplasty.

A. 72100, M25.40

B. 73501-RT,M16.11

C. 72100-26, M19.90

D. 73501-26-RT, M16.11, Z96.641

20. EXAMINATION OF: Cervical spine.

CLINICAL SYMPTOMS: Herniated disc.

FINDINGS: A single spot fluoroscopic film from the operating room is submitted for interpretation. The cervical spine is not well demonstrated above the level of the inferior aspect of C6. There is a metallic surgical plate seen anterior to the cervical spine. The cephalic portion of the plate is at the level of C6 at its superior endplate. That extends in an inferior direction, presumably anterior to C7; however, there is not

adequate visualization of C7 to confirm location. Density overlies the C6-7 intervertebral disc space, suggesting the presence of a bone plug in this area; however, again visualization is not adequate in this area. Further evaluation with plain radiographs is recommended.

A. 72100-26, M51.26

B. 72020-26, M50.20

C. 72100-52-26, M50.20

D. 72020-52-26, M51.24

21. This patient is suffering from primary lung cancer and is in for a follow-up CT scan of the thorax with contrast material. Code the physician component only.

A. 71250-26, C78.00

B. 71260, C34.90

C. 71260-26, C34.90

D. 71270-26, D49.1

22. A patient received 32 radiation oncology treatments. How should this series of treatment sessions be coded?

a) 77427 x 6, 77431

b) 77427 x 6

c) 77427 x 7

d) 77427 x 6, 77431 x 2

23.Erin, a 45-year-old, asymptomatic female comes in for her annual bilateral screening mammography. Her physician ordered a computer- aided detection along with the mammography. The procedure was performed in a hospital. How would you report the professional services for this study?

a. 77067-26

b. 77066-26, 77065, 77066-26-59

c. 77059-26, 77067-51

d. 77067, 77067-51

24. A patient presents to a freestanding radiology center and had ultrasonic guidance needle placement with imaging supervision and interpretation of two separate lesions in the left breast. The procedure required several passes to complete. How would you report the imaging procedure?

a. 76930 x 2

b. 76941

c. 76942 x 2-LT

d. 76942-LT

25. Sally had a DXA bone density study for her hips, pelvis, and spine. The procedure was performed in a hospital. How would you report for the professional services of this study?

a. 77078-26, 77080-26

b. 77080-26

c. 77086-26

d. 77081-26, 77080-26

26. How is proton beam treatment delivery defined?

a. Simple, Complex, and Compound

b. Simple, Complex, and Intermediate

c. Superficial, Deep Vein, and Distal

d. Simple, Complicated, and Comprehensive

27. 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

28. Which of the following codes are unlisted procedures?

a. 76498, 78199, 76496, 77799

b. 75600, 75801, 76506, 76830

b. 75600, 75801, 76506, 76830

d. 75810, 75801, 75860, 75983

29. How does cardiac magnetic imaging differ from a traditional MRI?

a. In its ability to provide a physiologic evaluation of cardiac function

b. In its ability to provide a measurement of the cardiac output

c. In its ability to provide only a one dimensional view of the heart

d. In its ability to provide only mapping points for cardiac regurgitation

30. Jim is received two fractions of high dose electronic brachytherapy at a free-standing oncology center. What code(s) report this service?

a. 77799, 0395T x 2

b. 77761 x 2

c. 0394T x 2

31. What is the correct CPT description of code 78135?

a. Differential organ/tissue kinetics (e.g., splentic and/or hepatic sequestration)

b. Bone marrow imaging; limited area

c. Red cell survival study; differential organ/tissue kinetic (e.g., splentic and/or hepatic sequestration)

d. None of the above

32. The physician requests a dual energy absorptiometry of the foot. Which code should be reported for this diagnostic test?

A. 77080

B. 77081

C. 77078

D. 77077