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?

1. Liver - ______________________________

2. Thyroid - ____________________________

3. Spleen - _____________________________

4. Bone - ______________________________

5. Brain - ______________________________

Answer 1

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