AMA Clinical Examples in Radiology - 2018 Issue 3 (Summer)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer A patient with a proximal femoral fracture due to a gunshot wound had a computed tomographic angiogram (CTA) of the pelvis and lower extremities. Intravenous (IV) contrast was performed overnight for evaluation of a possible vascular injury. Appropriate vascular 3-dimensional reconstructions were generated from the source images to justify the CTA code. Dedicated bone-window reconstructions/image series were not generated as part of the computed tomography (CT) study. The clinicians subsequently requested dedicated bone reconstructions of the left hip and proximal left femur from the initial CT dataset. These were separately interpreted by the musculoskeletal...
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Article Overview
This article presents short radiology coding questions and answers focused on common reporting situations involving computed tomography, computed tomographic angiography, fluoroscopy-related imaging, 3D postprocessing, and an unlisted CT service. It is useful for radiology coders, billing staff, and physicians who want to compare imaging documentation scenarios with current CPT and HCPCS reporting guidance from professional and specialty-source references.
Why This Topic Matters
Radiology claims often depend on how imaging work is performed, interpreted, and documented. This article helps readers understand which code families are involved in several practical scenarios and where additional reporting considerations may apply.
What You Will Learn
- How radiology coding questions are framed in a Q&A format.
- Which imaging service categories are discussed in selected CT, CTA, fluoroscopy, and 3D rendering scenarios.
- How professional component and technical component considerations are presented at a high level.
- When an unlisted CT code category is referenced for a service that lacks a specific CPT description.
Who Should Read This
- Radiology coders
- Hospital billing staff
- Physician billing teams
- Radiologists
- Compliance staff
Codes Discussed
Modifiers Discussed
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