AMA Clinical Examples in Radiology - 2017 Issue 1 (Winter)
Radiology Test Case: Gastric Emptying, Small Bowel and Colon Transit Study
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 2017. Once you are confident with your answer, turn to page 12 for the correct answer and discussion. Gastric Emptying, Small Bowel and Colon Transit Study PROCEDURE Gastric Emptying, Small Bowel and Colon Transit Study CLINICAL HISTORY 15-year-old female with history of chronic constipation and suspected delayed colonic transit COMPARISON CT abdomen and pelvis; barium enema TECHNIQUE A9548 At 2 minutes, 4...
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Article Overview
This article presents a radiology test case centered on a gastric emptying, small bowel, and colon transit study, with an emphasis on how the study is documented and coded in a teaching format. It is intended for coding professionals and reviewers who want to evaluate procedure reporting in the context of nuclear medicine and gastrointestinal transit imaging. The article includes the clinical scenario, technique details, imaging time points, and a discussion of the reported answer for educational review.
Why This Topic Matters
It helps coding professionals understand how a complex gastrointestinal transit exam is presented in a radiology test case and what documentation elements are relevant when reviewing the report.
Article Sections
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Procedure
Introduces the study being performed and frames the report as a coding-oriented test case.
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Clinical History
Summarizes the patient context and the reason the imaging study was obtained.
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Comparison
Lists prior imaging studies referenced for comparison in the report.
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Technique
Describes the imaging workflow, timing, and measurement approach used in the study.
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Findings
Presents the observed transit findings across the reported time points.
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Impression
Provides the report’s overall assessment of the study results.
What You Will Learn
- How the study is structured in a radiology test case format.
- What clinical and technical documentation elements are included in the report.
- How the article presents the imaging timeline and interpretive sections.
- How the case is positioned as an educational example for coding review.
Who Should Read This
- Radiology coders
- Medical coding professionals
- Nuclear medicine coding specialists
- Radiology documentation reviewers
- Coding educators and trainees
Codes Discussed
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