Chapter 17 Test Review
Question 1_4 out of 4 points
An axillary view might be included in an X-ray of what part of the skeleton?
Selected Answer: c.
Shoulder
Correct Answer: c.
Shoulder
Response Feedback: Rationale: The axillary view is an X-ray view taken of the shoulder.
Question 2_4 out of 4 points
Which anatomic position has the patient lying at an angle instead of lying flat or directly on their side?
Selected Answer: b.
Oblique
Correct Answer: b.
Oblique
Response Rationale: The oblique position is a slanted position where the patient is lying at an angle
Feedback: that is neither prone nor supine.
Question 3_4 out of 4 points
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?
Selected Answer: a.
73600
Correct Answer: a.
73600
Response Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range 73600-73610.
Feedback: There were two views taken (anteroposterior and lateral views), so CPT® code 73600 is
correct.
Question 4_4 out of 4 points
A patient arrives at the hospital unable to stand on his leg after a collision in a soccer game. The patient’s shin
is sore to the touch. Two view X-rays of the tibia and fibula are taken. What is the CPT® code reported by the
radiologist for the X-rays?
Selected Answer: d.
, 73590-26
Correct Answer: d.
73590-26
Response Rationale: In the CPT® Index look for X-ray/Fibula, or X-ray/Tibia; either one leads you to
Feedback: 73590. Modifier 26 is needed because the X-ray is taken at the hospital and only the
professional component is billed by the physician.
Question 5_4 out of 4 points
What ICD-10-CM code is reported for a routine chest X-ray?
Selected Answer: b.
Z00.00
Correct Answer: b.
Z00.00
Response Rationale: Look in the ICD-10-CM Alphabetic Index for Encounter/X-ray of chest (as part of
Feedback: general medical examination) Z00.00. There is no mention of abnormal findings making
Z00.00 the correct code choice. Verify code selection in the Tabular List.
Question 6_4 out of 4 points
A patient with prostate cancer has his first dose of radiation treatment of a single area that requires a single
port and an energy level of 7 milli-electron volts (MeV). What CPT® code is reported?
Selected Answer: b.
77402
Correct Answer: b.
77402
Response Rationale: A patient with prostate cancer is receiving radiation treatment delivery by port of a
Feedback: single treatment area. In the CPT® Index look for Radiation Therapy/Treatment Delivery
directing you to 77401, 77402, 77407, 77412. Upon verification code 77402 is the only code
that represents a single treatment area with 7 MeV of energy.
Question 7_4 out of 4 points
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 two freezing cycles with good cosmetic results. What CPT®
codes are reported?
Selected Answer: c.
50250, 77013-26
Correct Answer: c.
50250, 77013-26
, Response Rationale: A kidney (renal) mass, not tumor, is being destroyed (ablation) by freezing
Feedback: (cryoablation) the lesion to remove it. This procedure was performed under CT (computed
tomography) guidance to ablate parenchymal (vital organ-example: kidney) tissue. Look in the
CPT® Index for Ablation/Cryosurgical/Renal Mass directing you to 50250.
Cryosurgery/Lesion/Kidney also leads to 50250. 50250 includes ultrasound guidance if
performed. The CT guidance was performed to locate the mass and not to accomplish the
ablation. CT guidance is found in the CPT® Index by looking for Ablation/CT Scan Guidance
directing you to code 77013. Modifier 26 denotes the professional service.
Question 8_4 out of 4 points
What ICD-10-CM code is reported for a routine screening mammogram?
Selected Answer: d.
Z12.31
Correct Answer: d.
Z12.31
Response Rationale: Look in the ICD-10-CM Alphabetic Index for Screening/neoplasm (malignant)
Feedback: (of)/breast/routine mammogram Z12.31. ICD-10-CM only has one code to report a screening
mammogram. Verify code selection in the Tabular List.
Question 9_4 out of 4 points
A patient reports to the hospital radiology department for a functional MRI of the brain. The technologist asks
the patient to perform small tasks. He takes the images of the patient at rest and while performing the tasks.
What CPT® code is reported?
Selected Answer: c.
70554
Correct Answer: c.
70554
Response Rationale: The test performed is a functional MRI of the brain. From the CPT® Index look for
Feedback: Magnetic Resonance Imaging (MRI)/Diagnostic/Brain. You are referred to 70551-70555. Refer to
the code descriptions. There are two codes describing functional MRI, which are 70554 and
70555. Because the test is performed by the technician, not a physician, the service is reported
with 70554.
Question 10_4 out of 4 points
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?
Selected Answer: c.
77762-26
Question 1_4 out of 4 points
An axillary view might be included in an X-ray of what part of the skeleton?
Selected Answer: c.
Shoulder
Correct Answer: c.
Shoulder
Response Feedback: Rationale: The axillary view is an X-ray view taken of the shoulder.
Question 2_4 out of 4 points
Which anatomic position has the patient lying at an angle instead of lying flat or directly on their side?
Selected Answer: b.
Oblique
Correct Answer: b.
Oblique
Response Rationale: The oblique position is a slanted position where the patient is lying at an angle
Feedback: that is neither prone nor supine.
Question 3_4 out of 4 points
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?
Selected Answer: a.
73600
Correct Answer: a.
73600
Response Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range 73600-73610.
Feedback: There were two views taken (anteroposterior and lateral views), so CPT® code 73600 is
correct.
Question 4_4 out of 4 points
A patient arrives at the hospital unable to stand on his leg after a collision in a soccer game. The patient’s shin
is sore to the touch. Two view X-rays of the tibia and fibula are taken. What is the CPT® code reported by the
radiologist for the X-rays?
Selected Answer: d.
, 73590-26
Correct Answer: d.
73590-26
Response Rationale: In the CPT® Index look for X-ray/Fibula, or X-ray/Tibia; either one leads you to
Feedback: 73590. Modifier 26 is needed because the X-ray is taken at the hospital and only the
professional component is billed by the physician.
Question 5_4 out of 4 points
What ICD-10-CM code is reported for a routine chest X-ray?
Selected Answer: b.
Z00.00
Correct Answer: b.
Z00.00
Response Rationale: Look in the ICD-10-CM Alphabetic Index for Encounter/X-ray of chest (as part of
Feedback: general medical examination) Z00.00. There is no mention of abnormal findings making
Z00.00 the correct code choice. Verify code selection in the Tabular List.
Question 6_4 out of 4 points
A patient with prostate cancer has his first dose of radiation treatment of a single area that requires a single
port and an energy level of 7 milli-electron volts (MeV). What CPT® code is reported?
Selected Answer: b.
77402
Correct Answer: b.
77402
Response Rationale: A patient with prostate cancer is receiving radiation treatment delivery by port of a
Feedback: single treatment area. In the CPT® Index look for Radiation Therapy/Treatment Delivery
directing you to 77401, 77402, 77407, 77412. Upon verification code 77402 is the only code
that represents a single treatment area with 7 MeV of energy.
Question 7_4 out of 4 points
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 two freezing cycles with good cosmetic results. What CPT®
codes are reported?
Selected Answer: c.
50250, 77013-26
Correct Answer: c.
50250, 77013-26
, Response Rationale: A kidney (renal) mass, not tumor, is being destroyed (ablation) by freezing
Feedback: (cryoablation) the lesion to remove it. This procedure was performed under CT (computed
tomography) guidance to ablate parenchymal (vital organ-example: kidney) tissue. Look in the
CPT® Index for Ablation/Cryosurgical/Renal Mass directing you to 50250.
Cryosurgery/Lesion/Kidney also leads to 50250. 50250 includes ultrasound guidance if
performed. The CT guidance was performed to locate the mass and not to accomplish the
ablation. CT guidance is found in the CPT® Index by looking for Ablation/CT Scan Guidance
directing you to code 77013. Modifier 26 denotes the professional service.
Question 8_4 out of 4 points
What ICD-10-CM code is reported for a routine screening mammogram?
Selected Answer: d.
Z12.31
Correct Answer: d.
Z12.31
Response Rationale: Look in the ICD-10-CM Alphabetic Index for Screening/neoplasm (malignant)
Feedback: (of)/breast/routine mammogram Z12.31. ICD-10-CM only has one code to report a screening
mammogram. Verify code selection in the Tabular List.
Question 9_4 out of 4 points
A patient reports to the hospital radiology department for a functional MRI of the brain. The technologist asks
the patient to perform small tasks. He takes the images of the patient at rest and while performing the tasks.
What CPT® code is reported?
Selected Answer: c.
70554
Correct Answer: c.
70554
Response Rationale: The test performed is a functional MRI of the brain. From the CPT® Index look for
Feedback: Magnetic Resonance Imaging (MRI)/Diagnostic/Brain. You are referred to 70551-70555. Refer to
the code descriptions. There are two codes describing functional MRI, which are 70554 and
70555. Because the test is performed by the technician, not a physician, the service is reported
with 70554.
Question 10_4 out of 4 points
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?
Selected Answer: c.
77762-26
