RadiologyE
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Feb 20, 2024
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After constantly complaining of sinus headaches, the physician wants the patient to have a sinus X-ray with at least three views. How would this be billed?
Correct answer: 70220
In the index of the CPT book, you will look up sinus, X-ray. This gives you the code range 70210-70220, which can be found in the Radiology section. The difference between the codes in this range is how many views are ordered. In the case of this question, the physician ordered at least three views. Code 70220 is for a sinus X-ray, paranasal, complete, minimum of three views. This would be the correct answer to this question.
Code 70150 is for a facial bone X-ray, complete, minimum of three views. This is not what the question is asking for, so this is an incorrect answer. Code 70480 is for an orbit, sella, or posterior fossa/outer CT scan. This is not what the question is asking for at all, so this would also be incorrect. Code 70110 is for a mandible X-ray, complete, minimum of four views. This is not what the question is asking for, so this would be incorrect.
Reference:
AMA CPT® 2023 Professional Edition. Pg 522.
A patient on dialysis is sent to radiology by his physician after he suspects that the catheter used for his medicine has shifted away from where it is supposed to be. Using fluoroscopic guidance and an injection of contrast material, the radiologist examines the port.
How would this be billed?
Correct answer: 36598
In the index of the CPT book, you will look up injection, contrast, via catheter, which gives you two codes: 36598 and 49424. Turning first to the Cardiovascular System section, you will see that code 36598 is for a contrast injection for radiologic evaluation of existing CVA device including fluoroscopy, image documentation, and report. The question asks for all these pieces, so that eliminates the latter code and makes code 36598 the correct answer to this question.
Code 75820 is for an extremity venography, radiological supervision, and interpretation. The question does not mention a venography, so this is incorrect. Code
76000 is for a fluoroscopy (separate procedure). Used with code 75820, this is incorrect because the venography is not mentioned in the question.
Reference:
AMA CPT® 2023 Professional Edition. Pg 301.
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