Portable Chest and Abdomen Radiography

RADIOLOGY TEST CASE ANSWER Portable Chest and Abdomen Radiography HOW TO CODE 71045 Radiologic examination, chest; single view 74018 Radiologic examination, abdomen; 1 view R50.9 Fever, unspecified R11.2 Nausea with vomiting, unspecified DISCUSSION This report describes a single view of the chest and a single view of the abdomen. It is appropriate to report two Current Procedural Terminology (CPT ® ) codes: 71045 and 74018 . It is not appropriate to report CPT code 74022 , Radiologic examination, abdomen; complete acute abdomen series, including supine, erect, and/or decubitus views, single view chest. As stated in the Spring 2007 issue...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium coding article explains how a portable chest-and-abdomen radiography scenario is addressed from a coding and edit-management perspective. It is aimed at radiology coders, auditors, and billing staff who need to understand the relevant CPT and ICD-10-CM reporting context, the impact of 2018 radiography code-set revisions, and the history of an NCCI procedure-to-procedure edit affecting the service pair. The article also references guidance and commentary from major coding organizations and discusses a later CPT editorial clarification issue tied to the exam pattern.

Why This Topic Matters

Accurate reporting of combined chest and abdomen radiography depends on understanding code-set structure, exam configuration, and evolving edit guidance. This matters for compliant claim submission, denial prevention, and correct interpretation of radiology coding references.

Article Sections

  1. How to Code

    Introduces the coding scenario and identifies the relevant reporting categories for the exam. It frames the discussion around the radiology service and diagnosis coding context.

  2. Discussion

    Summarizes the coding rationale, notes related code-set changes over time, and reviews edit and editorial-update history discussed by professional organizations. It also ties the coding discussion to the reported clinical presentation.

  3. Sources

    Lists the external references and publication sources cited in the article.

What You Will Learn

  • The radiology coding topics associated with a portable chest-and-abdomen exam
  • How the article situates CPT and ICD-10-CM reporting for this scenario
  • The broader implications of recent radiography code-set revisions
  • How professional guidance and edit-history references are presented in the article

Who Should Read This

  • Radiology coders
  • Medical billers
  • Coding auditors
  • Compliance staff
  • Physician practice administrators

Codes Discussed


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