Radiology Test Case Answer

Winter 2023 page 18 RADIOLOGY TEST CASE ANSWER MRI Lymphangiogram HOW TO CODE 71552 Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences 38790 -50 Injection procedure; lymphangiography I89.8 Other specified noninfective disorders of lymphatic vessels and lymph nodes DISCUSSION The report describes pre- and post-contrast magnetic resonance imaging...

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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 reviews a radiology test case involving MRI lymphangiogram reporting and related coding considerations for a thoracic duct obstruction scenario. It is aimed at coders and billing professionals working with radiology, CPT, ICD-10-CM, and Medicare-related guidance. The discussion covers imaging combinations, associated injection procedures, when additional imaging guidance may be reported, and the general role of diagnostic lymphangiography in the case.

Why This Topic Matters

The case helps readers understand how a complex radiology encounter is represented across multiple code sets and how supporting documentation affects reporting. It is useful for avoiding omissions in bundled imaging scenarios and for recognizing when payer edits and modifier use may become relevant.

Article Sections

  1. Winter 2023 page 18

    Identifies the source issue and page for the case review.

  2. HOW TO CODE

    Summarizes the primary reporting approach for the imaging and related procedures discussed in the case.

  3. DISCUSSION

    Explains the clinical context, the radiology services performed, and broader coding and billing considerations tied to the encounter.

  4. SOURCES

    Lists the reference publications cited for the case answer.

What You Will Learn

  • How the case is framed within a radiology coding discussion
  • Which code sets are involved in the encounter
  • What kinds of related imaging and guidance services are discussed
  • How payer-related edits and modifier considerations are addressed at a high level
  • How the diagnosis context is described for the reported scenario

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Coding educators

Codes Discussed

Modifiers Discussed


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