AMA Clinical Examples in Radiology - 2008 Issue 4 (Fall)
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: An orthopedic physician has ordered a leg measurement study, which consists of a CT "scanogram" from the hip to the ankle without contrast material, and without axial imaging. If ordered and performed, how would this procedure be coded, and how is it to be coded if performed bilaterally? When a complete leg measurement study is performed on a CT scanner without axial imaging (eg, "scanogram")...
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Article Overview
This article collects frequently asked radiology coding questions covering CT, MRI, ultrasound, angiography, and radiation oncology-related imaging support. It focuses on how different study types, components, and supervision requirements are discussed in coding guidance, making it useful for radiology coders, billing staff, and imaging compliance teams reviewing modality-specific reporting questions.
Why This Topic Matters
Radiology services often involve multiple imaging techniques, component distinctions, and supervision rules that affect accurate claim reporting. This FAQ helps readers understand the scope of the guidance addressed in the article so they can determine whether the full premium content is relevant to their workflow.
Article Sections
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Leg measurement study coding
Discusses imaging guidance for leg measurement studies and related radiology reporting considerations. The section addresses modality selection and whether additional laterality reporting is discussed.
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Angioplasty coding question
Covers a vascular intervention coding question involving an upper extremity or neck vessel. The section focuses on how the FAQ frames procedure reporting in a specific anatomic context.
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Stereoscopic x-ray guidance supervision
Addresses supervision and documentation considerations for a stereoscopic x-ray guidance service used in radiation therapy workflows. The section describes the professional oversight context discussed in the FAQ.
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Appendiceal ultrasound coding
Explains how an appendix-focused ultrasound question is treated within abdominal and pelvic imaging categories. The section discusses anatomic location and exam classification at a general level.
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MRI for treatment planning
Reviews reporting considerations for MRI performed in connection with treatment planning. The section distinguishes between professional and technical component themes and related documentation issues.
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Contrast supervision in IDTF settings
Summarizes supervision requirements for contrast studies performed in independent diagnostic testing facilities. The section focuses on the level of physician availability discussed in the guidance.
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Chest CT for pulmonary embolism
Covers coding questions involving chest CT and CT angiography in the context of vascular diagnosis. The section discusses modality distinctions, postprocessing themes, and how the FAQ treats competing code choices.
What You Will Learn
- How radiology FAQs frame coding questions across CT, MRI, ultrasound, angiography, and radiation therapy imaging support.
- What kinds of supervision and documentation issues are addressed for imaging services.
- How the article organizes component-based and modality-specific reporting topics.
- What general areas of radiology coding guidance are covered in this newsletter-style FAQ.
Who Should Read This
- Radiology coders
- Medical billing staff
- Imaging compliance teams
- Radiology practice managers
- Hospital outpatient coding teams
- Radiation oncology support staff
Codes Discussed
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