AMA Clinical Examples in Radiology - 2022 Issue 2 (Spring)
Contrast-Enhanced Ultrasound with Liver Biopsy
Spring 2022 pages 6-9 CLINICAL EXAMPLE 2 Contrast-Enhanced Ultrasound with Liver Biopsy CLINICAL HISTORY Focal liver lesions. COMPARISON Prior ultrasound, computed tomography (CT), and magnetic resonance (MR) studies. TECHNIQUE AND FINDINGS Following signed consent and universal procedure, ultrasound of the liver was performed, focusing on the right liver. Correlation was made with the previous ultrasound, CT, and MR studies. Three previously identified focal areas of mildly increased echogenicity in the right liver were localized sonographically. A total of 2.5 mL of ultrasound contrast was injected intravenously while continuous ultrasound examination of these areas was performed. Intense contrast enhancement and...
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Article Overview
This article is a radiology coding example focused on a liver procedure that combines contrast-enhanced ultrasound with image-guided biopsy. It is intended for coders, auditors, and clinical documentation teams who need to understand how the scenario is documented and how the related procedure and diagnosis code sets are discussed at a high level. The article also includes broader guidance on lesion characterization, imaging guidance, and reporting of contrast supplies in the context of this type of exam.
Why This Topic Matters
Combined imaging and biopsy cases often involve multiple reportable components and can affect code selection across procedure, guidance, supply, and diagnosis categories. Understanding the structure of this example helps readers evaluate similar liver imaging workflows and related documentation needs.
Article Sections
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Clinical Example 2
Introduces the liver imaging and biopsy scenario and provides the clinical context for the example.
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Clinical History
Summarizes the presenting issue and the reason the study was performed.
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Comparison
Lists the prior imaging studies used for correlation in the example.
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Technique and Findings
Describes the imaging workflow, biopsy process, and overall procedural observations.
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Impression
Provides the overall clinical impression from the combined imaging and biopsy encounter.
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How to Code
Presents the code set categories and reporting framework discussed for the case.
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Discussion
Reviews the broader coding topics associated with contrast-enhanced ultrasound, biopsy, imaging guidance, supplies, and diagnosis reporting.
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Source
Cites the publication lineage and issue information for the example.
What You Will Learn
- How a combined contrast-enhanced ultrasound and liver biopsy case is presented in a coding example
- Which major code sets are referenced for procedure, guidance, supply, and diagnosis reporting
- How the article frames contrast-enhanced ultrasound in relation to lesion characterization
- How imaging guidance and biopsy are discussed as separate reporting components
- How supply reporting is addressed in the context of contrast administration
- How the article distinguishes the example from broader coding principles for similar cases
Who Should Read This
- Medical coders
- Radiology coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle staff
- Physician practices supporting interventional radiology
Codes Discussed
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