Radiology Test Case

Radiology Test Case This 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 11 for the correct answer and discussion. The patient is a 42-year-old female with a ventriculoperitoneal (VP) shunt placed 1 year ago for hydrocephalus. There is suspected shunt dysfunction. Clinical History Enlarging cerebral ventricles on recent computed tomography (CT) scans of the brain. VP shunt tube in place. Suspected shunt dysfunction. Report Lateral views of the skull, an anteroposterior (AP) and lateral view...

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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 for coding professionals involving a shunt evaluation workup and the associated imaging report. It is intended to help readers assess coding relevance for a multi-part radiology study and understand the type of clinical and reporting details included in the case.

Why This Topic Matters

It helps radiology coders and reviewers recognize the scope of a shunt-related imaging case and the documentation elements that may affect code selection.

Article Sections

  1. Clinical History

    Summarizes the patient context and the reason the imaging study was performed.

  2. Report

    Describes the imaging views obtained and the broad findings across the skull, neck, chest, and abdomen.

  3. Impression

    Provides the overall radiology impression and the main takeaways from the exam.

What You Will Learn

  • How a shunt evaluation radiology case is presented for coding review.
  • What kinds of imaging regions are included in a comprehensive shunt study.
  • How the report and impression are organized in a radiology test case.
  • Which documentation elements are most relevant to radiology code review.

Who Should Read This

  • Radiology coders
  • Coding auditors
  • Clinical documentation reviewers
  • Health information management professionals

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