AMA Clinical Examples in Radiology - 2007 Issue 3 (Summer)
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: What is the meaning of treatment session as described by the intensity modulated treatment delivery code 77418 ? How would the code be used if a contiguous body area is being treated, eg, if both breasts are being treated with intensity modulated radiation therapy (IMRT)? CPT code 77418 , Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC...
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Article Overview
This article compiles frequently asked radiology coding questions and answers focused on how common imaging and radiation oncology services are described for reporting purposes. It discusses treatment delivery sessions, treatment devices, bone length studies, foot radiography, and references guidance from professional radiology organizations and coding publications. The content is aimed at readers who need to compare similar radiology services and understand the general reporting context discussed in the source material.
Why This Topic Matters
Radiology coding often depends on whether a service is part of a single study, a multi-part treatment session, or a separately reportable component. This FAQ helps coders, radiology departments, and compliance staff recognize the article’s scope before reviewing the full guidance.
Article Sections
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IMRT treatment delivery and contiguous body areas
Discusses reporting context for intensity modulated radiation therapy treatment delivery, including session-based billing concepts and references to professional guidance sources.
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Compensator-based beam modulation and alternative delivery methods
Brief note on an alternative radiation delivery approach and its relationship to IMRT reporting.
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Treatment devices: design, construction, and reporting structure
Covers questions about treatment device creation, professional versus technical reporting, and broad categories of device complexity used in radiation oncology.
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Bone length studies and lower-extremity imaging
Addresses bone length study reporting and compares it with plain film imaging of the femur, tibia, and fibula.
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Foot radiography and weight-bearing views
Explains the reporting context for standard and weight-bearing foot views when evaluating alignment or flat foot concerns.
What You Will Learn
- How the article frames radiology questions and answers for coding reference
- The general reporting context for radiation therapy delivery sessions
- How the article groups treatment device topics and complexity levels
- How bone length studies are distinguished from routine extremity X-ray studies
- How foot radiography views are discussed in relation to standard studies and modifiers
Who Should Read This
- Radiology coders
- Radiation oncology billing staff
- Compliance professionals
- Physician practices
- Medical billing teams
Codes Discussed
Modifiers Discussed
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