1. 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
2. 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
3.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
4. 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
5. 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
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. 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
12.
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
13.
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
14.
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
15.
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
16.
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
17. 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
18. 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
19. 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
20. 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
21. 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
22. 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
23. 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
24. 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
25. 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
26. 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
27. 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
28. 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
29.
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
30. 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
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
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