Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of internal organs after the administration of radioisotopes. 3. An MRI is an invasive radiological procedure. 4. A PET scan produces images of the body after the administration of radioisotopes. 5. An angiography is an x-ray of a blood vessel. 6. A computed tomography angiography (CTA) produces images of the lateral angle of the patient. 7. Fluoroscopy is used for noninvasive procedures. 8. A PET scan will produce information on anatomy and functionality of internal organs. 9. An ultrasound uses high-frequency sound waves to create echoes. 10. One gray equals 1000 rads. 11. The newest radiation unit of measurement terminology is roentgen. 12. Radiology procedures include only two components: a technical component and a professional component. 13. Modifier -TC is added to a radiology code to indicate the professional component of a radiology procedure. 14. When an x-ray is done a second time due to poor film quality, report the radiology code twice. 15. M-mode is a display mode for an ophthalmic ultrasound. 16. B-scan is a type of ultrasound display mode. 17. Uptake is the absorption of a mineral by the body's tissues. 18. In an anteroposterior projection, the x-ray beam travels from back to front. 19. A cystography is done to view the gallbladder. 20. An MRI produces a three-dimensional image of internal organs. Completion Complete each statement. 21. CT scan, head or brain, without contrast material, followed by contrast materials(s), and further sections. Assign code(s). 22. Radiologic examination, chest, special views (e.g., lateral decubitus, Bucky studies). Assign code(s). 23. Epidurography, radiological supervision, and interpretation. Assign code(s). 24. Aortography, thoracic, without serialography, radiological supervision, and interpretation. Assign code(s). 1
Name ID: A 25. Transluminal balloon angioplasty, peripheral artery, radiological supervision, and interpretation. Assign code(s). 26. Fluoroscopy, physician time more than 1 hour, assisting a nonradiologic physician (e.g., nephrostolithotomy, ERCP, bronchoscopy, transbronchial biopsy). Assign code(s). 27. Ultrasound, retroperitoneal, real time, with image documentation, complete. Assign code(s). 28. Fluoroscopic guidance for needle placement. Assign code(s). 29. Bone age studies. Assign code(s). 30. Dual energy x-ray absorptiometry (DXA), bone density study, one or more sites, vertebral fracture assessment. Assign code(s). 31. Therapeutic radiology simulation-aided field setting, three-dimensional. Assign code(s). 32. Special teletherapy port plan, particles, hemibody, total body. Assign code(s). 33. Radiation treatment delivery, single treatment area, single port or parallel opposed ports, single blocks or no blocks, 11-19 MeV. Assign code(s). 34. One or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge and/or compensator(s). Assign code(s). 35. Hyperthermia generated by intracavitary probe(s). Assign code(s). 36. Vitamin B-12 absorption study (e.g., Schilling test), without intrinsic factor. Assign code(s). 37. Positron emission tomography (PET) imaging, skull base to mid-thigh. Assign code(s). 38. Radiopharmaceutical therapy by intravenous administration. Assign code(s). 39. Pulmonary quantitative differential function (ventilation/perfusion) study. Assign code(s). 40. Brain imaging, vascular flow only. Assign code(s). Short Answer 41. For diagnostic radiology procedures to be coded correctly, what components need to be identified when the health record is reviewed? 42. When an invasive diagnostic imaging study is done, what are two methods of administrating contrast material? 43. List the four types of ultrasound display modes. 44. Which branch of medicine uses ionizing radiation to treat disease? 45. Hyperthermia, clinical brachytherapy, and proton beam treatment are methods to treat what type of disease? 46. List the three classifications for therapeutic radiology treatment planning codes. 47. Therapeutic radiology simulation-aided field codes include which four categories? 48. What radiation therapy can be varied in intensity based on the presence or absence of the mass in the beam pathway? 2
ame: ID: A 49. Hyperthermia is performed before or after what other type of radiation therapy? 50. Where and how are ribbons or sources used in the body during brachytherapy? 51. Brachytherapy is delivered using ribbons or sources. The application of these internal devices is classified by amount. List the three brachytherapy reporting code groups. 52. Nuclear medicine radiology uses radium to produce the image. What coding system classifies the use of radium material? 53. List the four radiographic projections. 54. What type of radiology scan is used to track metabolism or blood flow but not anatomy? Multiple Choice Identify the choice that best completes the statement or answers the question. 55. Ultrasound of tonsils. Report code a. 76536 b. 76536-52 c. 76536-59 d. 76998-52 56. Chest x-ray, frontal, lateral, and oblique views. Report code(s) a. 71020 c. 71020, 71022 b. 71022 d. 71020, 71022-51 57. Transvaginal ultrasound of a 30-year-old female who is not pregnant. Report code(s) a. 76817 c. 76856 b. 76830 d. 76817, 76830 58. Application of seven interstitial ribbons in the patient's abdominal cavity. Report code a. 77761 c. 77776 b. 77762 d. 77777 59. SPECT imaging of liver to assess vascular flow. Report code a. 78205 c. 78216 b. 78206 d. 78220 60. PET scan to assess myocardial metabolic status. Report code a. 78459 c. 78461 b. 78460 d. 78464 61. Bilateral screening mammography due to family history of breast cancer. Report code a. 77055 c. 77057 b. 77056 d. 77059 62. Selective catheter placement (first order) main renal artery for bilateral angiography with flush aortagram, including radiological supervision and interpretation. Report code a. 36254 c. 75731 b. 36252 d. 75733 63. CT scan of lumbar spine after administration of radiopaque liquid. Report code a. 72131 c. 72133 b. 72132 d. 72142 64. Stress view of right shoulder. Report code a. 73020-RT c. 73090-RT b. 73030-RT d. 77071-RT 3
Name: ID: A 65. The contrast agent barium sulfate is used for radiology studies of the body area. a. renal c. cardiovascular b. gastrointestinal d. spinal column 66. What does a roentgen identify? a. Unit of radiant energy c. Unit of exposure dose b. Unit of released energy d. Unit of radiation absorbed 67. Mr. Lawrence Wells was diagnosed with cholelithiasis and cholecystitis. The surgeon performed a laparoscopic cholecystectomy and supervised and interpreted the intraoperative cholangiogram. Report code(s) a. 47563 c. 47563, 74300-26, 76000-26 b. 47563, 74300-26 d. 47563, 74300 68. Epidurogram of cervical and thoracic regions under fluoroscopic guidance with image documentation and reporting. Report code(s) a. 72275 c. 72275, 72275 b. 72275, 77003 d. 72275, 72275, 77003 69. MRI of abdomen after administration of contrast agent. Report code a. 74181 c. 74183 b. 74182 d. 74185 70. DXA study to assess a female patient's lumbar and thoracic spine. Report code a. 77080 c. 77082 b. 77081 d. 77083 71. OB ultrasound of a patient in her second month; ultrasound confirmed twin pregnancy. Report code(s) a. 76801 c. 76801, 76802 b. 76805 d. 76805, 76810 72. Nuclear medicine scan, parathyroid gland. Report code a. 78006 c. 78070 b. 78010 d. 78099 73. Two views of cervical spine. Report code a. 72020 c. 72050 b. 72040 d. 72052 74. Bilateral examination of TMJ. Report code a. 70328 c. 70330 b. 70328-50 d. 70332 Matching Match each code with a type of radiological service below. a. ultrasound e. CAT b. radiation oncology f. nuclear medicine c. d. 75. 78102 76. 77525 77. 76805 78. 78231 fluoroscopy MRI g. x-ray 4
Name: 79. 70100 80. 77610 81. 71023 82. 78000 83. 72072 84. 72131 85. 77763 86. 71551 87. 75600 88. 78466 89. 70380 90. 71020 91. 75891 92. 72148 93. 75831 94. 72141 95. 79200 96. 78579 97. 75945 98. 72010 99. 73706 100. 76700 5