AMA Clinical Examples in Radiology - 2019 Issue 3 (Summer)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer What are the appropriate codes to report when both a fine needle aspiration (FNA) biopsy of an axillary node is performed and a localization clip is placed in the same node at the same setting, both using ultrasound guidance? When a clip placement and a FNA biopsy of the same lymph node are both performed with ultrasound guidance on the same day of service, it is appropriate to report Current Procedural Terminology (CPT ® ) code 10005 , Fine needle aspiration biopsy, including ultrasound guidance; first lesion, with modifier 52, Reduced Services, appended, and code...
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Article Overview
This Q&A article addresses several radiology coding scenarios and explains the general coding topics involved, including imaging-guided biopsy and clip placement, lung cancer screening follow-up CT, breast MRI reporting, reconstructed CT interpretation, and voiding cystography/urosonography. It is intended for coding professionals, radiology practices, and reimbursement staff who need to understand how the article frames common documentation and reporting issues using CPT and related guidance.
Why This Topic Matters
The article helps readers identify which radiology coding questions are being discussed and which code sets and modifiers are involved, so they can judge whether the full premium content is relevant to their workflow.
Article Sections
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Imaging-guided FNA biopsy and localization clip placement
Discusses a same-session radiology scenario involving biopsy and localization device placement under ultrasound guidance, along with related modifier and compliance considerations.
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Lung cancer screening follow-up CT after Lung-RADS categorization
Covers post-screening chest CT follow-up questions and the distinction between screening and diagnostic study types in the context of Lung-RADS management.
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Breast MRI performed with post-contrast images only
Addresses reporting questions for breast MRI variations and the broader topic of how breast MRI protocols are represented in CPT coding.
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Reconstructed cervical spine CT from CTA data sets
Explains a trauma imaging scenario involving CTA of the neck and reconstructed cervical spine CT reporting, including component-level billing considerations.
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Voiding urosonography and ultrasound cystography
Reviews coding for voiding cystourethrography and ultrasound cystography procedures and the related radiology supervision and interpretation framework.
What You Will Learn
- Which radiology coding topics are covered in the article
- How the article frames modifier use in same-session imaging procedures
- How follow-up chest CT is discussed in relation to lung cancer screening
- How breast MRI protocol variations are addressed at a high level
- How reconstructed CT interpretation is discussed in trauma imaging
- How voiding cystography and ultrasound cystography are presented in the article
Who Should Read This
- Radiology coders
- Hospital outpatient coding staff
- Physician billing staff
- Radiology department administrators
- Compliance and reimbursement teams
Codes Discussed
Modifiers Discussed
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