CPC radiation – Flashcards

A patient with prostate cancer has his first dose of radiation treatment of a single area that requires a single port an energy level of 7 milli-electron volts (MeV). What CPT® code is reported?

A 32-year-old patient with cervical cancer is in an outpatient facility to have HDR brachytherapy. The cervix is dilated and under ultrasound guidance six applicators are inserted with iridium via the vagina to release its radiation dose. The placement is in the cervical cavity (intracavitary). What CPT® code is reported for the physician service?

56-year-old patient who has been admitted requires a tunneled CV catheter insertion. The physician uses ultrasound guidance to perform the insertion. The physician documented vessel patency and that permanent recordings are in the patient's record. What CPT® codes are reported for the physician's services?

25-year-old female in her last trimester of her pregnancy comes into her obstetrician's office for a fetal biophysical profile (BPP). An ultrasound is used to first monitor the fetus' movements showing three movements of the legs and arms (normal). There are two breathing movements lasting 30 seconds (normal). Non-stress test (NST) of 30 minutes showed the heartbeat at 120 beats per minute and increased with movement (normal or reactive). Arms and legs were flexed with fetus' head on it chest, opening and closing of a hand. Two pockets of amniotic fluid at 3cm were seen in the uterine cavity (normal). Biophysical profile scored 9 out of 10 points (normal or reassuring). What CPT® code is reported by the obstetrician?

Tomographic axial images (CT or CAT scan) through the abdomen were obtained without administration of intravenous contrast. This showed a 3-cm diameter mass in the upper pole of the right kidney abutting the liver. Cryoablation of the lesion was performed utilizing 2 freezing cycles with good cosmetic results. What CPT® codes are reported?

A patient in the clinic with a history of cholelithiasis is coming in with sharp abdominal pain with vomiting and nausea. An ultrasound of the gallbladder is performed revealing she has stones in the gallbladder. What CPT® code is reported?

A patient with hydronephrosis has a nephrostomy and he has agreed to pyelography (IVP) to rule out a left renal obstruction. The patient was placed prone on the X-ray table one hour after IV infusion of contrast. Contrast flowed from the right renal pelvis, down the ureter into the bladder where a Foley catheter was positioned and the nephrostogram showed no obstruction or abnormalities in the urinary tract. The right kidney and ureter showed no obstruction. Bladder appears within normal limits. What CPT® code should be reported for the radiological services?

A 32-year-old patient is coming into an outpatient facility to have a catheterization performed of the uterus with saline infusion sonohysterography due to dysfunctional uterine bleeding. A previous scan showed suspected endometrial polyps. What CPT® and ICD-10-CM codes are reported?

A patient who may have a stricture of the artery is undergoing an aortogram in which the left femoral artery was cannulated with a catheter advanced in to the infrarenal abdominal aorta. Contrast medium was injected and films taken by serialography showing the aortoiliac inflow vessels are widely patent. The bilateral common femorals appear normal. What CPT® codes are reported for the professional component?

A one-year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?

A patient was admitted to observation status after losing control and crashing his motorcycle into the guardrail on the highway. A CT scan of the brain without contrast and the chest is performed. It revealed a fracture of the skull base with no hemorrhage in the brain. There was no puncture of the lungs. Three views of the right and left sides of the ribcage reveal fractures of the left third and fifth rib. What CPT® and ICD-10-CM codes are reported?

Myocardial Perfusion Imaging—Office Based Test Indications: Chest pain. Procedure: Resting tomographic myocardial perfusion images were obtained following injection of 10 mCi of intravenous Cardiolite. At peak exercise, 30 mCi of intravenous Cardiolite was injected, and post-stress tomographic myocardial perfusion images were obtained. Post stress gated images of the left ventricle were also acquired. Myocardial perfusion images were compared in the standard fashion. Findings: This is a technically fair study. There were no stress induced electrocardiographic changes noted. There are no significant reversible or fixed perfusion defects noted. Gated images of the left ventricle reveal normal left ventricular volumes, normal left ventricular wall motion, and an estimated left ventricular ejection fraction of 50%. Impression: No evidence of myocardial ischemia or infarction. Normal left ventricular ejection fraction. What CPT® code(s) is/are reported?

70-year-old female presents with a complaint of right knee pain with weight bearing activities. She is also developing pain at rest. She denies any recent injury. There is pain with stair climbing and start up pain. An AP, Lateral and Sunrise views of the right knee are ordered and interpreted. They reveal calcification within the vascular structures. There is decreased joint space through the medial compartment where she has near bone-on-bone contact, flattening of the femoral condyles, no fractures noted. The diagnosis is right knee pain secondary to underlying localized degenerative arthritis. What CPT® and ICD-10-CM codes are reported?

The patient has malignant ascites due to ovarian cancer. She is coming back to the operating room for a planned ultrasound guided abdominal paracentesis (000 global days). This is the second time she needed fluid removed from the abdominal cavity. What CPT® and ICD-10-CM codes are reported?

A young child is taken to the OR to reduce a meconium plug bowel obstruction. A therapeutic enema is performed with fluoroscopy. The patient is in position and barium is instilled into the colon through the anus for the reduction. What CPT® code is reported by the independent radiologist for the radiological service?

41-year-old male is in his doctor's office for a follow up of an abnormality, which was noted, on an abdominal CT scan. He is to have a chest X-ray due to chest tightness. He otherwise states he feels well and is here to go over the results of his chest X-ray (PA and Lateral) performed in the office and the CT scan performed at the diagnostic center. The results of the chest X-ray were normal. CT scan was sent to the office and the physician interpreted and documented that the CT scan of the abdomen showed a small mass in his right upper quadrant. What CPT® codes are reported for the doctor's office radiological services?

A CT scan confirms improper ossification of cartilages in the upper jawbone and left side of the face area for a patient with facial defects. The CT is performed with contrast material in the hospital. What CPT® code is reported by an independent radiologist contracted by the hospital?

A patient with thickening of the synovial membrane undergoes a fluoroscopic guided radiopharmaceutical therapy joint injection on his right knee without ultrasound. What CPT® code(s) is/are reported by the physician if performed in an ASC setting?

55-year-old female is having a diagnostic mammogram performed on her left breast because a screening mammogram detected density in the breast. What CPT® and ICD-10-CM codes are reported?

After intravenous administration of 5.1 millicuries Tc-99m DTPA, flow imaging of the kidneys was performed for approximately 30 minutes. Flow imaging demonstrated markedly reduced flow to both kidneys bilaterally. What CPT® code is reported?

A patient on estrogen replacement therapy (ERT) receives a DXA study of the hips. What is the CPT® code reported for the bone density study?

AP and Lateral chest X-rays were performed for a cough. What CPT® and ICD-10-CM codes are reported?

The patient presents for a screening CT colonography. What CPT® code(s) is/are reported

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?