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. Consider your answers as to how the procedure is reported in 2014. Once you are confident with your answer, turn to page 11 for the correct answer and discussion. Obstetric Transabdominal and Transvaginal Ultrasound Clinical Indications Anatomic survey and advanced maternal age (AMA). Procedure Obstetric transabdominal and transvaginal ultrasound. Dating Clinical Results LMP: 5/25/2013 The assigned gestational age is 18w 5d, based on LMP. The assigned EDD is 3/1/2014. Clinical Results Anchor Data...

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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 presents a radiology test case designed for coding professionals to evaluate how an obstetric ultrasound encounter is reported in 2014. It centers on a combined transabdominal and transvaginal study, with discussion framed around documentation review, maternal and fetal findings, and the kind of coding judgment a reader would use to assess the case.

Why This Topic Matters

It helps radiology and obstetric coding staff understand how a documented ultrasound case is presented for coding review, which can support study, audit preparation, and education around report interpretation.

Article Sections

  1. Clinical Indications

    Summarizes the stated reasons for the study and the overall context for the exam.

  2. Procedure

    Identifies the type of ultrasound study being reported and the general exam approach.

  3. Dating

    Presents gestational dating information and related timing details used in the case.

  4. Clinical Results

    Lists the reported maternal and fetal measurement data and related ultrasound calculations.

  5. Findings

    Summarizes the observed fetal anatomy and maternal anatomy noted during the examination.

  6. Impression

    Provides the closing narrative summary of the examination and its general interpretation.

What You Will Learn

  • How an obstetric ultrasound case is organized for coding review
  • Which portions of the report provide indications, procedure information, and findings
  • How a radiology test case frames discussion of 2014 reporting expectations
  • What types of documentation are commonly reviewed in an obstetric ultrasound encounter

Who Should Read This

  • Radiology coders
  • Obstetric ultrasound coding professionals
  • Coding auditors
  • Medical coding students
  • Clinical documentation reviewers

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