Question

FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED UNLESS THE QUESTION STATES OTHERWISE. ALSO, FOR ALL SERVICES FURNISHED IN A HOSPITAL SETTING, ASSUME THAT THE HOSPITAL (AND NOT THE PHYSICIAN) FURNISHED THE TECHNICAL COMPONENT (EX. EQUIPMENT, NON-PHYSICIAN PERSONNEL, ETC.)

1. A primary care physician took a two view chest x-ray (frontal and lateral views) in his office. The films were sent to a radiologist (who was not affiliated with the primary care physician) to be interpreted. The radiologist billed separately for her services. How should the radiology-related services provided by the primary care physician’s office be reported?

2. How should the radiologist in the above questions report her professional services?

3. A radiologist interpreted a head CT scan taken by the hospital. The study included both films taken without contrast and films taken with IV contrast material. How should the radiologist’s professional services be reported?

4. A mammography was performed for a patient with a suspicious breast lump. Only one breast was studied. The service was provided in a freestanding women’s imaging center owned by a large radiology practice. The study confirmed a neoplasm. A copy of the radiology report was sent to the patient’s primary care physician. How would the radiology practice’s services be reported?

5. A radiologist interpreted a MRI without contrast of the orbit, face, and neck taken by the hospital. The radiologist also interpreted a soft tissue x-ray of the neck taken by the hospital. The interpretations of both studies were included in a single radiology report under separate headings. How should the radiologist’s professional services be reported? **Per CPT Assistant, the -51 modifier is generally not reported with Radiology codes**

6. Supervision and interpretation of an aortography, thoracic, by serialography

7. Uterine ultrasound in real time with image documentation of a 32-week pregnant female with twins

8. Therapeutic radiology treatment planning; simple

9. Teletherapy, isodose plan, to one area, simple, for cancer of the prostate, primary malignant

10. Five radiation treatments

11. Simple application of a radioactive source, interstitial

12. Which category in the Nuclear Medicine subsection would you reference to locate codes for the following?

a. Liver - ______________________________

b. Thyroid - ____________________________

c. Spleen - _____________________________

d. Bone - ______________________________

e. Brain - ______________________________

Answer 1

Ans-

Ans-1) radiologist are the medical doctor which are provided the service for the patient in tratement and providing the service for the medical imaging.where the radiologist perform the test and dignosis for the diseases at primary level.

Ans-2) radiologist perform the test like MR,CT scan which check the injury in head portion.also doing x-ray which help to conclude the fracture in body or not.also doing test like Hr-CT, ultrasound etc.

Ans-3)CPT 74176, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Abdomen. The Current Procedural Terminology code 74176 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Abdomen.

Ans-4)Most radiology services or procedures, although described by a the single CPT code, comprise two distinct portions: a professional component and a technical component. The professional component is provided by the physician, and may include supervision, interpretation, and a written report.

Ans-6)75600-aortography thoracic without serological, radiological supervision and interpretation.

75605-AORTOGRAPHY, THORACIC, BY SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION

75625-AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION

Ans-7)Current Procedural Terminology (CPT) code 76811 for ultrasound, pregnant uterus, real time with image documentation, maternal evaluation plus detailed fetal anatomic examination, transabdominal, single or first gestation.

Ans-8)Before you begin the radiation treatment, your radiation therapy team carefully plans for your treatment in a process called as the radiation simulation. Treatment planning usually involves the positioning your body and making marks on your skin and taking imaging scan of Patient body.

Ans-10) radiation treatments-

1)3D conformal radiation therapy.

2)Intensity-modulated radiation therapy (IMRT)

3)Volumetric modulated radiation therapy (VMAT)

4)Image-guided radiation therapy (IGRT)

5)Stereotactic radiosurgery (SRS)

6)Brachytherapy.

7)Superficial x-ray radiation therapy (SXRT)

8)Intraoperative radiation therapy (IORT)

11)Radioactive sources are used for the study living organisms, to diagnose and treat diseases, to sterilize the various medical instruments and food, to produce energy for heat and electric power.also used for the monitor various steps in all types of industrial processes. Tracers are a common application of radioisotopes.also used in many medical applications, including both diagnosis and treatment.

12)

1) Thyroid-

Thyroiduptake, single study 78012

with vascular flow 78013

with single/multiple uptake(s) quantitative 78014

Thyroid carcinoma metastases limited 78015

2)Liver-

Liver, static only 78201

Liver SPE 78205 ,with vascular flow 78206

3)spleen-

Liver-Spleen, static only 78215

4)bones-

Bone and/or, limited 78300

multipleareas 78305

Whole body 78306, 3 Phase study 78315

5)Brain-

Brain Scan with SPECT-CT CPT Code 78607