AMA Clinical Examples in Radiology - 2008 Issue 2 (Spring)
Radiology FAQ
Radiology FAQ If you have a question you would like to see addressed in the newsletter, please e-mail clinex@acr.org. The editorial staff will pick the most frequently asked questions for publication. Question: Answer: The radiologist reports an ultrasound evaluation of the liver, biliary tree, gallbladder, pancreas, spleen, proximal aorta, inferior vena cava, and screening views of the kidneys for abdominal pain. The radiologist then reports a full renal examination with images of the kidneys and bladder for hydronephrosis. Is it appropriate to code for a complete ultrasound of the abdomen ( 76700 ) and a complete retroperitoneal study...
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Article Overview
This article explains several radiology coding questions that arise in everyday practice, including how to distinguish between complete and limited studies, how anatomic coverage and clinical necessity affect reporting, and how certain procedure-related imaging is handled. It is useful for coders, radiologists, and billing staff who work with CPT-based radiology reporting and need to understand the general categories of guidance discussed in the newsletter format.
Why This Topic Matters
Radiology coding often depends on the exam performed, the clinical indication, and how the service is documented. This FAQ highlights common situations where similar imaging services may be reported differently, making it relevant for accurate reporting and compliance review.
Article Sections
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Ultrasound questions
Covers abdominal and retroperitoneal ultrasound reporting in a scenario involving overlapping anatomic evaluation and medical necessity. Also references guidance from radiology coding resources and the CPT codebook.
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Cervical spine MRI question
Addresses MRI reporting for cervical spine imaging when a limited number of sequences is obtained. Discusses how coding is considered in relation to study completeness and the clinical purpose of the exam.
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CT IVP question
Discusses how to approach CT terminology that may not map cleanly to standard coding language, including abdominal and pelvic CT reporting and contrast-related documentation considerations.
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Transplanted kidney ultrasound question
Reviews ultrasound reporting for a transplanted kidney and related vascular evaluation. Mentions how duplex Doppler imaging is addressed in the context of transplant surveillance.
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ICD implantation and venography question
Explains coding considerations for venography performed in connection with device implantation procedures. Focuses on when the imaging is considered separately reportable versus part of the overall service.
What You Will Learn
- How the article frames common radiology coding questions across multiple imaging modalities.
- How exam scope, clinical indication, and documentation affect coding discussions.
- How the article treats combined imaging services, transplant-related imaging, and procedure-associated venography.
- Which CPT and related radiology references are discussed in the FAQ.
Who Should Read This
- Medical coders
- Radiology coders
- Radiologists
- Billing staff
- Compliance personnel
Codes Discussed
Code Ranges Discussed
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