Q1. View MR 007400 MR 007400 Radiology Report Patient: J. Lowe Date of Service: 06/10/XX Age: 45 MR#: 4589799 Account #: 3216770 Location: ABC Imaging Center Study: Mammogram bilateral screening, all views, producing direct digital image Reason: Screen Bilateral digital mammography with computer-aided detection (CAD) No previous mammograms are available for comparison. Clinical history: The patient has a positive family history (mother and sister) of breast cancer. Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system. Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable. What CPT coding is reported for this case?
A.77067-50, Z80.3, Z12.31
B. 77066, Z80.3, Z12.31
C. 77067, Z12.31, Z80.3
D. 77066-50, Z12.31, Z80.3
Correct Answer: C
Q2. View MR 005398 MR 005398 Operative Report Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Procedure: Right nephrectomy with partial ureterectomy. Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fasci a. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0 silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well. What CPT coding is reported for this case?
A.50234
B. 50220
C. 50230
D. 50240
Correct Answer: B
Q3. View MR 007400 MR 007400 Radiology Report Patient: J. Lowe Date of Service: 06/10/XX Age: 45 MR#: 4589799 Account #: 3216770 Location: ABC Imaging Center Study: Mammogram bilateral screening, all views, producing direct digital image Reason: Screen Bilateral digital mammography with computer-aided detection (CAD) No previous mammograms are available for comparison. Clinical history: The patient has a positive family history (mother and sister) of breast cancer. Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system. Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable. What CPT coding is reported for this case?
A.77067-50, Z80.3, Z12.31
B. 77066, Z80.3, Z12.31
C. 77067, Z12.31, Z80.3
D. 77066-50, Z12.31, Z80.3
Correct Answer: C
Q4. Mr. Roland has difficulty breathing and congestion with a productive cough. The physician takes frontal and lateral view chest X-rays in the office (the equipment is owned by the physician group). The physician reads the X-rays and determines a diagnosis of walking pneumoni a. The physician's interpretation is placed in the patient's chart. How does the physician bill for the chest X-ray?
A.71046-26
B. 71046-26-TC
C. 71046-TC
D. 71046
Correct Answer: D
$ 39
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