Radiology (December 2009)

December 2009 page 13a Bonus Feature:Radiology Question: Should 2D rendering be performed in conjunction with CT angiography and how is this reported? Patricia E. Hlavinka, CRA, FHFMA, CPA Answer: Two dimensional (2D) postprocessing does not constitute a computed tomographic angiography (CTA) study. When CT scanning is performed using contrast enhanced dynamic-timed imaging and 2D reformatted axial images are obtained or multiplanar reconstructions (MPR) (eg, coronal, sagittal, or even an off-axis view) are peformed, this should be reported with a standard CT-with-contrast-code that identifies the anatomic area studied. None of these 2D planar reconstructions qualify as angiographic reconstruction. CTA is...

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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 article explains a radiology coding question focused on CT angiography, postprocessing, and the distinction between planar reformations and 3D rendering within CPT guidance. It is relevant to radiologists, coders, and billing staff who work with CT studies, vascular imaging, and CPT reporting updates. The discussion centers on how the topic was framed in CPT 2010-era coding guidance and related ACR interpretation.

Why This Topic Matters

Imaging services often involve overlapping reconstruction and rendering workflows, and accurate understanding of the reporting framework affects code selection and documentation. This article helps readers determine whether the full discussion applies to their CT/CTA billing and reporting environment.

Article Sections

  1. December 2009 page 13a

    A radiology coding question-and-answer format discussing CT angiography, reconstruction workflows, and CPT reporting context. The section addresses CPT 2010-era guidance and related professional interpretation.

What You Will Learn

  • How the article frames CT angiography within radiology coding guidance
  • What general types of reconstruction and rendering services are discussed
  • How CPT-era updates and professional interpretation are presented in relation to imaging reporting
  • Which kinds of imaging scenarios the article is intended to help clarify

Who Should Read This

  • Radiologists
  • Medical coders
  • Billing staff
  • Imaging facility administrators
  • Compliance professionals

Codes Discussed


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