AMA Clinical Examples in Radiology - 2007 Issue 3 (Summer)
Radiology Test Case Answer
How to Code 72131 Computed tomography, lumbar spine; without contrast material 72192 Computed tomography, pelvis; without contrast material Discussion In this scenario, complete non-enhanced computed tomography (CT) studies of the lumbar spine and pelvis were performed for an indication of multiple trauma; therefore, a CT of the pelvis is reported for the sacrococcygeal area in addition to a CT of the lumbar spine. When a CT of the lumbar spine and coccyx are requested for a suggestion of sacrococcygeal fracture, it is appropriate to code for both a CT of the lumbar spine and a CT of the pelvis...
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Article Overview
This radiology coding article reviews test-case guidance for imaging of the lumbar spine, pelvis, and sacrococcygeal region. It is aimed at coders and radiology billing professionals who need a high-level understanding of when different anatomic areas are discussed together, plus how related contrast-study and contrast-agent references are handled. The article also places the scenario in the context of broader CT and MRI coding references and cited coding publications.
Why This Topic Matters
Radiology coding often depends on the imaged anatomy, the study type, and whether contrast is involved. This article helps readers understand the scope of a radiology test scenario and the categories of coding references discussed in connection with lumbar spine and pelvic imaging.
Article Sections
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How to Code
Introduces the primary imaging studies addressed in the article and frames the radiology coding discussion at a high level.
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Discussion
Reviews the test-case imaging scenario and broader anatomic considerations relevant to the radiology coding topic.
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Coding Tip
Provides related radiology coding context, including references to contrast-study topics and associated imaging scenarios.
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References
Lists source publications and coding references cited by the article.
What You Will Learn
- The radiology topic areas covered by the test case
- How the article frames lumbar spine and pelvic imaging scenarios
- The broader categories of related contrast-study guidance mentioned in the discussion
- Which publications are cited as background references
Who Should Read This
- Radiology coders
- Medical billers
- Coding educators
- Compliance staff
- Revenue cycle professionals
Codes Discussed
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