Chapter 17 Review Exam 2023/2024 verified to pass

Chapter 17 Review Exam 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? - correct answer 73600 Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range . There were two views taken (anteroposterior and lateral views), so CPT® code 73600 is correct. AP and Lateral chest X-rays were performed for a cough. What CPT® and ICD-10-CM codes are reported? - correct answer 71046, R05 Rationale: In the CPT® Index look for X-ray/Chest and you are guided to code range . In looking at the descriptions, this is a 2-view chest X-ray. In the AP (Anteroposterior) position the X-ray beam enters the front of the body and exits through the back. In the lateral position, the X-ray beam enters through the side of the body. This is reported with 71046. Look in the ICD-10-CM Alphabetic Index for cough and you are directed to R05 An axillary view might be included in an X-ray of what part of the skeleton? - correct answer Shoulder Rationale: The axillary view is an X-ray view taken of the shoulder. Which plane divides the body into anterior and posterior halves? - correct answer Coronal Rationale: The coronal (frontal) plane cuts the body into front (anterior) and back (posterior) halves. 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? - correct answer 73590-26 Rationale: In the CPT® Index look for X-ray/Fibula, or X-ray/Tibia; either one leads you to 73590. Modifier 26 is needed because the X-ray is taken at the hospital and only the professional component is billed by the physician. What ICD-10-CM codes are reported for a radiotherapy session? - correct answer Z51.0 Rationale: Look in the ICD-10-CM Alphabetic Index for Radiotherapy session which directs you to Z51.0. Verify code selection in the Tabular List. A patient with hydronephrosis has a left nephrostomy and he has agreed to a pyelography (IVP) to rule out a right renal obstruction. The patient was placed prone on the X-ray table one hour after IV infusion of contrast. Contrast flowed from the left and right renal pelvis, down the ureters into the bladder where a Foley catheter was positioned. The IVP showed no obstruction or abnormalities in the urinary tract aside from the left hydronephrosis of the pelvis. The right kidney and ureter showed no obstruction. Bladder appeared within normal limits. What CPT® code is reported for the radiological services? - correct answer 74400-26 Rationale: A radiographic exam of the urinary tract is performed with IV injection of contrast medium and radiographs are taken. This is performed to assess the anatomy and function of the kidneys, bladder, and ureters. In the CPT® Index look for X-ray/with Contrast/Urinary Tract or Urography/Intravenous. Reviewing the codes in the numeric section leads you to report 74400 for an intravenous pyelography. Modifier 26 is appended to indicate the professional service. In ICD-10-CM when a patient is seen for a routine examination, what additional information is needed in order to accurately code the routine examination? - correct answer Whether or not abnormal findings were identified. Rationale: In ICD-10-CM the codes for radiologic exam have been expanded to specify when abnormal findings are found on the radiology exam. Look in the ICD-10-CM Alphabetic Index for Examination/radiological. There is a subentry for with abnormal findings. These entries default to the codes for a general adult medical examination. Z00.00 Encounter for general adult medical examination without abnormal findings. Z00.01 Encounter for general adult medical examination with abnormal findings. A patient 14 weeks pregnant is coming back to her obstetrician's office for a repeat transabdominal ultrasound to measure fetal size and to confirm abnormalities seen in a previous scan. The obstetrician documented the ultrasound results in the medical record. What CPT® code is reported by the obstetrician? - correct answer 76816 Rationale: The patient is coming back for a follow-up (repeat) ultrasound to re-evaluate conditions affecting the fetus seen on the last ultrasound scan. In the CPT® Index look for Ultrasound/Obstetrical/Pregnant Uterus. The correct code for a follow-up ultrasound is 76816. No modifier 26 is needed because the ultrasound and the interpretation of the results were performed in the obstetrician's office. A 52 year-old female is sent to radiology for a lymphangiography of both arms. The patient has swelling in both arms which is suspected to be lymphangitis. She also has a history of breast cancer having had a double mastectomy 5 years ago. What CPT® and ICD-10-CM codes are reported? - correct answer 75803, M79.89, Z85.3, Z90.13