AMA Clinical Examples in Radiology - 2011 Issue 1 (Winter)
Radiology Test Case
Radiology Test Case The radiology test case is provided for coding professionals to test their knowledge. Please take some time to review and code the case. Once you are confident with your answer, turn to page 8 for the correct answer and discussion. Computed Tomography of the Abdomen and Pelvis Clinical History Cancer of the small intestine, previous abdominal surgery, prostate nodule, previous mesenteric masses. Procedure Computed tomography (CT) study of the abdomen without contrast material followed by a CT study of the abdomen and pelvis with contrast material. Technique Noncontrast scans of the abdomen followed by scans of...
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Article Overview
This article presents a radiology test case for coding professionals centered on a computed tomography study of the abdomen and pelvis. It includes the clinical scenario, exam technique, imaging findings, and the case discussion used to evaluate coding knowledge. The content is relevant to radiology coders, trainees, and reviewers who work with diagnostic imaging documentation and code assignment.
Why This Topic Matters
It helps readers assess whether the documented CT service and related imaging details match their coding workflow and training needs.
Article Sections
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Clinical History
Summarizes the background information and prior clinical context provided for the imaging case.
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Procedure
Describes the imaging exam performed and the general structure of the CT study.
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Technique
Outlines the scan approach and contrast administration details documented for the study.
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Findings
Presents the reported imaging observations for the abdomen and pelvis.
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Impression
Summarizes the radiologist’s overall assessment of the exam findings.
What You Will Learn
- How a CT abdomen and pelvis case is documented for coding review.
- What information is typically provided in the clinical history, technique, findings, and impression sections of a radiology case.
- How a radiology test case is structured for coder practice and discussion.
- What parts of the report are relevant when reviewing imaging documentation.
Who Should Read This
- Radiology coders
- Coding professionals
- Coding trainees
- Health information management staff
- Audit and compliance reviewers
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