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Tuesday, October 1, 2019

RADIOLOGY SAMPLE QUESTIONS - 002



1.       A patient presents to her physician 48 hours after an assault with right eye pain, nasal airway obstruction, and deformity. The physician orders an X-ray of the facial bones with a Waters view, Caldwell view and lateral view. What is the CPT code for the X-ray?

a)                  70486
b)                  70220
c)                   70150
d)                  70140

2.       A patient presents to the physician with stiffness and numbness in the necks, shoulders and arms. The physician orders an MRI of the cervical spine, with and without contrast, to rule out cervical spinal stenosis.What is/are the CPT code(s) for the MRI?

a)                  72020
b)                  72127
c)                   72141, 72142
d)                  72156

3.       During a physical examination, hepatomegaly is revealed. The physician orders an ultrasound of the liver to evaluate the hepatomegaly. What CPT code is reported?

a)                  74000
b)                  76705
c)                   74022
d)                  76700

4.        A patient 20-weeks pregnant with twins goes to her OB/GYN for an ultrasound to check the position of the both foetuses. What CPT code(s) is/are used for the ultrasound?

a)                  76805, 76810
b)                  76816
c)                   76816, 76810
d)                  76815

5.       A complete B-scan ultrasound without duplex Doppler of the kidney is performed in the physician’s office on a patient following a kidney transplant. What is the CPT code for the ultrasound?

a)                  76705
b)                  76775
c)                   76776
d)                  76811

6.       A patient with left breast pain and a lump in the breast visits her physician. After examination, the physician orders a mammogram of the left breast. The mammography is performed using computer –aided detection software. What CPT code(s) is/are reported for the mammography?

a)                  77066
b)                  77067-52
c)                   77065
d)                  77067-52, 77067

7.       The use of ultrasound to examine the measure internal structures of the skull and to diagnose abnormalities and disease is echoencephalography. What is the code for echoencephalography and/or real time with image documentation, including A-mode encephalography as a secondary component where indicated?

a)                  76506
b)                  76510
c)                   76511
d)                  76512

8.       A patient receives complex radiation oncology treatment two times a day for three days. Which radiology code(s) is/are appropriate for this series of clinical management fractions?

a)                  77427, 77431 x 3
b)                  77427
c)                   77525 x 3, 77523 x 3
d)                  77427, 77431

9.       A DXA body composition study is performed on a patient. What CPT code(s) is/are reported for the scan?

a)                  77080, 77081
b)                  77080
c)                   77086
d)                  76499

10.   A male patient being treated for prostate cancer receives brachytherapy treatment. Nine radioactive seeds were interstitially placed within the prostate. What is the CPT code for the radiological component?

a)                  77799
b)                  77778
c)                   77772
d)                  77789

11.   Patient is in the orthopedic’s office with an injured ankle. The orthopaedic thinks it is only a sprained ankle, but decides to take an ankle X-ray to rule out a fracture. A two view ankle X-ray is taken in the physician’s office. The orthopaedic reviews the ankle X-ray and it is negative for a fracture. The report is placed in the medical records. How is the X-ray reported by the orthopaedic physician?

a)                  73600-26
b)                  73600-TC
c)                   73600-26-TC
d)                  73600

12.   A patient with osteoporosis reports to her physician’s office for a DXA bone density of her spine to monitor the severity of her condition. What is the correct CPT code for the DXA scan?

a)                  77080
b)                  77081
c)                   77086
d)                  77081-52

13.   Select the appropriate code for a computerized axial tomography of the lumbar spine with contrast.

a)                  72132
b)                  72133
c)                   72129
d)                  72126

14.   Mammographic guidance for preoperative needle placement in the breast is coded as:

a)                  19281
b)                  77065
c)                   77067
d)                  77058

15.   SPECT bone scan is reported with which CPT code?

a)                  78315
b)                  78320
c)                   78350
d)                  78300

16.   A patient suffering from lower back pain presented to the emergency department. The physicianperformed a physical examination on the patient and ordered a lumbar myelography for a suspectedherniated disc. The patient was sent to the hospital where the radiologist injected contrast material into thesubarachnoid space through a percutaneously placed spinal needle. Films of the lumbar area wereobtained. Select the appropriate codes for the radiologist facility services.

a)                  62304
b)                  62284, 72265
c)                   72265
d)                  62284

17.   A transperineal permanent Palladium-103 implantation of the prostate was performed on a 68-year-oldpatient with cancer of the prostate of complex nature. A postimplantcystogram was performed by theurologist and revealed the seeds to be in excellent position. The patient went to the recovery room instable condition. Follow-up dosimetry is arranged. Code for the facility.

a)                  77799-26
b)                  77778-26-TC
c)                   77778
d)                  77799-TC

18.   A CT study of the cervical spine (C2-C4) was performed with IV contrast in the hospital outpatientradiology department. How should the services be reported?

a)                  70492
b)                  72126
c)                   72125
d)                  70491

19.   A patient received 32 radiation oncology treatments. How should this series of treatment sessions becoded?

a)                  77427 x 6, 77431
b)                  77427 x 6
c)                   77427 x 7
d)                  77427 x 6, 77431 x 2

20.   The patient reports to the clinic with a chronic sinus infection and headache. PA, lateral, and obliqueviews are taken of the sinuses at the clinic’s radiology department for review by the clinic’s radiologist.Provide the CPT & ICD-10-CM codes.

a.       70210; R09.3, J32.9
b.      70220;R51, J32.9
c.       70150;R09.3,J34.89
d.      70250; R51, J34.89

21.   A 12-year, old child comes in for a scoliosis (congenital) film; erect, to evaluate the condition and herincreasing thoracic back pain. The exam is accomplished in the hospital’s radiology department and read bythe hospital employed radiologist. Provide the CPT and ICD 10 CM. codes for the exam.

a.       72082;M41.20, M54.6
b.      72020;R51, R07.0
c.       72081;Q67.5, M54.6
d.      72072;M41.20, M54.6

22.   An ophthalmologist injects contrast material into the lacrimal duct for a dacryocystography usinghospital equipment and also performs the radiological supervision and interpretation. Which CPT code andmodifier would you report for the radiological supervision and interpretation?

a.       68850, 70170, 26, indicating the professional component only
b.      68850, 70170, indicating the global service
c.       70120, TC, indicating the technical service
d.      70110, 26, TC, indicating the technical and professional components were provided separately

23.   The physician performs a bilateral screening mammography study of each breast on a 50-year-oldfemale. Which is the correct CPT for this service?

a.       77067-26
b.      77066
c.       77067
d.      00202

24.   A patient with coronary artery disease is seen in the OR for arterial bypass graft. The physicianperforms an epiaortic ultrasound during this operation. What is the correct CPT radiology and.ICD.10 CMcode for this scenario?

a.       76937; I25.10
b.      76999; I25.810
c.       76770; I25.810
d.      76998; I25.10

25.   What is the code for the test (pyelography) in which contrast is injected into a vein and the kidneysand filmed over a 30 to 60 minute period at intervals of one, five, 10, 15, and 30 minutes?

a.       74400
b.      74410
c.       74430
d.      74455

26.   The axial plane divides the body into what sections?

a)                  Left and Right
b)                  Posterior and Anterior
c)                   Front and Back
d)                  Superior and Inferior

27.   What position is the body placed in when it is in an oblique position?

a)                  Lying on the back, face up
b)                  Lying down, face down
c)                   At an angle, neither frontal nor lateral
d)                  Lying on the side

28.   What X-ray projection enters the front of the body and exits through the back of the body with thepatient lying down on the back?

a)                  AP
b)                  PA
c)                   Lateral
d)                  Oblique

29.   Which plane divides the body into anterior and posterior sections?

a)                  Sagittal
b)                  Axial
c)                   Transverse
d)                  Coronal

30.   A patient arrives at the urgent care facility with a swollen ankle.  Anteroposterior and lateral view X-rays of the ankle are taken to determine whether the patient has a fractured ankle.  What CPT® code(s) is/are reported?
a) 73610
b) 73600 x 2
c) 73600
d) 73600, 73610

31.   A contrast radiograph of the salivary glands and ducts is performed, resulting in diagnosis of salivaryfistula. What are the CPT and ICD-10-CM codes for the supervision and interpretation of this procedure?
a)                  70380-26, K11.5
b)                  70380-26, K11.4
c)                   70390-26, K11.5
d)                  70390-26, K11.4              

32.   CT images of the abdomen and pelvis were obtained without IV contrast, as a follow up to a splenicinjury. What is/are the CPT code(s) for the CT scan?
a)                  74010
b)                  72170
c)                   74176
d)                  74170, 72194

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