1.
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
2.
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
3.
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
4.
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
5.
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
6.
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
7.
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
8.
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
9.
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
10.
Mammographic guidance for preoperative needle placement in the breast
is coded as:
a)
19281
b)
77065
c)
77067
d)
77058
11.
SPECT bone scan is reported with which CPT code?
a)
78315
b)
78320
c)
78350
d)
78300
12.
A patient suffering from lower back pain presented to the emergency
department. The physician performed a physical examination on the patient and
ordered a lumbar myelography for a suspected herniated disc. The patient was
sent to the hospital where the radiologist injected contrast material into the subarachnoid
space through a percutaneously placed spinal needle. Films of the lumbar area
were obtained. Select the appropriate codes for the radiologist facility
services.
a)
62304
b)
62284, 72265
c)
72265
d)
62284
13.
A transperineal permanent Palladium-103 implantation of the prostate
was performed on a 68-year-old patient with cancer of the prostate of complex
nature. A postimplant cystogram was performed by the urologist and revealed the
seeds to be in excellent position. The patient went to the recovery room in stable
condition. Follow-up dosimetry is arranged. Code for the facility.
a)
77799-26
b)
77778-26-TC
c)
77778
d)
77799-TC
14.
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
15.
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
16.
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
17.
Select the appropriate code for a computerized axial tomography of the
lumbar spine with contrast.
a)
72132
b)
72133
c)
72129
d)
72126
18.
A 12-year, old child comes in for a scoliosis (congenital) film; erect,
to evaluate the condition and her increasing thoracic back pain. The exam is
accomplished in the hospital’s radiology department and read by the 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
19.
An ophthalmologist injects contrast material into the lacrimal duct for
a dacryocystography using hospital equipment and also performs the radiological
supervision and interpretation. Which CPT code and modifier 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
20.
The physician performs a bilateral screening mammography study of each
breast on a 50-year-old female. Which is the correct CPT for this service?
a.
77067-26
b.
77066
c.
77067
d.
00202
21.
A CT study of the cervical spine (C2-C4) was performed with IV contrast
in the hospital outpatient radiology department. How should the services be
reported?
a)
70492
b)
72126
c)
72125
d)
70491
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.
The patient reports to the clinic with a chronic sinus infection and
headache. PA, lateral, and oblique views 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
24.
A patient with coronary artery disease is seen in the OR for arterial
bypass graft. The physician performs an epiaortic ultrasound during this
operation. What is the correct CPT radiology and.ICD.10 CM code for this
scenario?
a.
76937; I25.10
b.
76999; I25.810
c.
76770; I25.810
d.
76998; I25.10
25.
What X-ray projection enters the front of the body and exits through
the back of the body with the patient lying down on the back?
a)
AP
b)
PA
c)
Lateral
d)
Oblique
26.
Which plane divides the body into anterior and posterior sections?
a)
Sagittal
b)
Axial
c)
Transverse
d)
Coronal
27.
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
28.
A contrast radiograph of the salivary glands and ducts is performed,
resulting in diagnosis of salivary fistula. 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
29.
CT images of the abdomen and pelvis were obtained without IV contrast,
as a follow up to a splenic injury. What is/are the CPT code(s) for the CT
scan?
a)
74010
b)
72170
c)
74176
d)
74170, 72194
30.
What is the code for the test (pyelography) in which contrast is
injected into a vein and the kidneys and 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
31.
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
32.
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
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