RadiologyH
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Feb 20, 2024
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Uploaded by ConstableGiraffe3016
An infant with a history of birth in the breech presentation undergoes a dynamic ultrasound of the hips to check for hip dysplasia. How would this be billed?
Correct answer: 76885
In the index of the CPT book, you will look up ultrasound, hips, infant. This gives you the codes 76885 and 76886, which can be found in the Radiology section. Turning to this section, you will see that the two codes are broken up into dynamic and limited. The question states a dynamic ultrasound was performed, so code 76885 would be the correct answer.
Code 76882 is for a limited extremity ultrasound. Since this is not what the question is
asking for, this is incorrect. Code 76857 is for a limited pelvic ultrasound. This is also not what the question is asking for, so this would be incorrect. Code 76820 is for a fetal Doppler velocimetry, umbilical artery. This is not what the question is asking for either, so this is incorrect.
Reference:
AMA CPT® 2023 Professional Edition. Pg 549.
After a patient complains of poor vision and pain, the ophthalmologist performs a B-scan ultrasound in order to see behind the left eye. This reveals some blood behind the eye, which the ophthalmologist will treat accordingly.
How would the radiological aspect of this visit be billed?
Correct answer: 76512-LT
In the index of the CPT book, you will look up ophthalmology, diagnostic, ultrasound. This gives you the code range 76510-76529, which can be found in the Radiology section. The difference between the codes in this range is which kind of ultrasound is performed. In the case of this question, the physician performs a B-scan ultrasound
only. Code 76512 is for a B-scan only. Also, the physician specifies that the left eye was viewed. Therefore, code 76512 with an LT modifier would be the correct answer to this question.
Code 76510 is for an A-scan and B-scan, performed during the same patient encounter. This is more than what the question is asking for, so this would not be the correct answer. Code 76513 is for an anterior segment ultrasound, immersion B-scan or high-resolution biomicroscopy. This is not what the question is asking for, so this would be incorrect. Code 76516 is for ophthalmic biometry by ultrasound echography,
A-scan. This is not what the question is asking for, so this would also be incorrect.
Reference:
AMA CPT® 2023 Professional Edition. Pg 544.
A patient undergoes a CT scan of the soft tissue of his neck after an ultrasound showed enlarged lymph nodes. The study is done without any contrast. How would this be billed?
Correct answer: 70490
In the index of the CPT book, you will look up CT scan, without contrast, neck. This gives you the code 70490, which can be found in the Radiology section. Turning to this section, you will see that this code 70490 is for computed tomography, soft tissue neck, without contrast material. Since this is what the question is looking for, this would be the correct answer.
Code 70491 is also for a CT of the soft tissue neck but is a study performed with contrast. Since this is not what the question is asking for, this is incorrect. Code 70540 is for magnetic resonance imaging (or MRI) of the orbit, face, and/or neck, without contrast. This is also not what the question is asking for, so this would be incorrect. Code 70547 is for magnetic resonance angiography (or MRA) of the neck, without contrast material. This is not what the question is asking for either, so this is incorrect.
Reference:
AMA CPT® 2023 Professional Edition. Pg 523.
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