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Bill 24
| Question | Answer |
|---|---|
| Anterior (Ventral) | In Front of |
| Posterior (dorsal) | In back of |
| Superior | Toward the head or the upper part of the body; also known as cephalad or cephalic |
| Inferior | Away from the head or the lower part of the body; also known as caudad or caudal |
| Medial | Toward the Midline of the body |
| Lateral | Away from the Midline of the body (to the side) |
| Fluoroscopy | Procedure for viewing the interior of the body using x-rays and projecting the image onto a television screen. |
| Magnetic Resonance Imaging (MRI) | Procedure that uses non-ionizing radiation to view the body in a cross-sectional view |
| Tomography | Procedure that allows viewing of a single plane of the body by blurring out all but that particular level |
| Xeroradiography | Photoelectric process of radiographs |
| Barium | Radiographic contrast medium |
| Biometry | Application of a statistical method to a biological fact |
| Arthrography | Joint |
| Cholangiography | Bile Ducts |
| Cystography | Urinary Bladder |
| Discography | Intervertebral joint |
| Epididymography | Epididymis |
| Hysterosalpingography | Uterine Cavity and Fallopian Tubes |
| Lymphangiography | Lymphatic Vessels and Nodes |
| Myelography | Subarachnoid Space of the Spine |
| Urography | Kidneys, Renal Pelvis, Ureters, and Bladder |
| Venography | Veins and Tributaries |
| Aortography | Radiographic Recording of the Aorta |
| Arthrography | Radiographic Recording of a Joint |
| Cholangiopancreatography (ERCP) | Radiographic Recording of the biliary system and Pancreas |
| Cholangiography | Radiographic Recording of the bile ducts |
| cystography | Radiographic Recording of the urinary bladder |
| dacryocystography | Radiographic Recording of the lacrimal sac or tear duct sac |
| duodenography | Radiographic Recording of the duodenum, or first part of the small intestine |
| echocardiography | Radiographic Recording of the heart or heart walls or surrounding tissues. |
| encephalography | Radiographic Recording of the subarachnoid space and ventricles of the brain |
| epididymography | Radiographic Recording of the epididymis |
| hepatography | Radiographic Recording of the Liver |
| hysterosalpingography | Radiographic Recording of the uterine cavity and the fallopian tubes |
| laryngography | Radiographic Recording of the larynx |
| lymphangiography | Radiographic Recording of lymphatic vessels and nodes. |
| myelography | Radiographic Recording of the subarachnoid space of the spine |
| pyelography | Radiographic Recording of the kidneys, renal pelvis, ureters, and bladder |
| sialography | Radiographic Recording of the salivary duct and branches |
| sinography | Radiographic Recording of the sinus or sinus tract |
| splenography | Radiographic Recording of the spleen |
| urography | Radiographic Recording of the kidneys, renal pelvis, ureters, and bladder (SAME AS PYELOGRAPHY) |
| venography | Radiographic Recording of the veins and tributaries |
| vesiculography | Radiographic Recording of the seminal vesicle |
| What is a branch of medicine that uses radiant energy to diagnose and treat patients | Radiology |
| The CPT manual divides the Radiology section into subsections of Radiologic Guidance, Breast Mammography, Bone/Joint Studies, Diagnostic Radiology, Diagnostic ______, Radiation _______ and Nuclear Medicine | Diagnostic Ultrasound, Radiation Oncology |
| What type of procedure is performed independently of, and is not immediately related to, other services? _____ _____ (two words) | Separate Procedure |
| One Gray equals how many Rads? | 1 Gy = 100 RADS The Gray unit is the SI Unit for absorbed radiation dose, and it equals 1 Joule of energy deposited per kilogram of material wheras 1 RAd Equals 0.01 Gray 20 KHZ to create |
| The Modifier used to indicate the Professional Component is | -26 |
| The two words that mean supervising the taking of the x-rays and reading/reporting the results of the films are supervision and | Supervision and Interpretation |
| The name for the use of high-frequency sound waves in an imaging process that is used to diagnose patient illness is diagnostic _______ | Diagnostic Ultrasound or simply ultrasound/sonography utilizes sound waves higher than 20 khz to create real-time images of internal body structures. |
| The Radiation Oncology section of the CPT manual is divided into subsections based on _____ of service provided to the patient | Type of Service |
| The scientific study of energy is | ThermoDynamics |
| The scientific calculation of the radiation emitted from various radioactive sources is | dosimetry |
| Radiation treatment delivery codes are based on the treatment area involved and further divided based on levels of what | Energy measured in megaelectron volts or categorized by complexity and energy levels(MeV) |
| MeV stands for | MegaElectron Volts Equal to 10 to the 6 electon volts 1.602 x10 -13 Joules LOW ENERGY (< 1 MeV) , HIGH ENERGY (> or equal to 1 MeV) |
| Radiation Treatment Management is reported in units of ____ (use numerical) fractions | 5 Fractions which constitutes one week of treatment sessions (fractions) regardless of the actual time period in which they are delivered |
| Unit of Measure 5 Fractions (EXCEPTIONS) | If 3 or 4 fractions are delivered beyond a multiple of 5 at the end of a cours, they are reported as an additional unit 5 Fractions constitues 1 week of treatment sessions. |
| Unit of Measure 5 Fractions (EXCLUDED) | 1 or 2 fractions beyond a multiple of 5 are not reported Separately. % Fractions consitute 1 week of treatment sessions. |
| Nuclear Medicine uses thes to image organs for diagnosis and treatment | Radioactive Tracers such as technetium-99m, Iodine, or Gallium to image and treat organs, these substances are injected, swallowed or inhaled. |
| What is the definition of the suffix -graphy | Making a Film |
| There are times when a code from the Radiology section as well as a code from another section are reported. What is this practice called | Component Coding |
| What Modifier is used when only the Professional Component of the service is provided? | Modifier -26 |
| In Angiography, dyes are injected into the vessels. What does this facilitate? | Visualization of Size and Condition |
| What is the first subsection in the Radiology Section of the CPT Manual? | Diagnostic Radiology (diagnostic Imaging) |
| What Modifier would be used when fewer than the total number of views specified in the code are taken? | Modifier -52 |
| X-ray procedure that allows for visualization of internal organs in motion, | Fluoroscopy |
| Procedure that allows viewing of a single plane of the body by blurring out all but that particular lever | Tomography |
| To Identify the cause, origin, or extent of a condition | Diagnostic |
| Scientific Calculation of Radiation Emitted from Various Radioactive Sources | Dosimetry |
| What is the therapy using radioactive sources that are placed inside the body | Brachytherapy |
| Which Category in the Nuclear Medicine Subsection would you Reference to locate codes for the LIVER | Gastrointestinal System |
| Which Category in the Nuclear Medicine Subsection would you Reference to locate codes for the THYROID | Endocrine System |
| Which Category in the Nuclear Medicine Subsection would you Reference to locate codes for the SPLEEN | Hematopoietic, Reticuloendothelial, and Lymphatic System |
| Which Category in the Nuclear Medicine Subsection would you Reference to locate codes for the BONE | Musculoskeletal System |
| Which Category in the Nuclear Medicine Subsection would you Reference to locate codes for the BRAIN | Nervous System |
| What is the word that indicates how the patient is placed during the x-ray examination? | Position |
| What is the term that indicates the path the x-ray beam travels? | Projection |
| What does this abbreviation mean? AP | Anteroposterior |
| What does this abbreviation mean? PA | Posteroanterior |
| What does this abbreviation mean? RAO | Right Anterior Oblique |
| What does this abbreviation mean? LPO | Left Posterior Oblique |
| What term indicates that a patient is lying supine or on his her back? | Dorsal |
| What term indicates that a patient is lying prone, or on his or her stomach? | Ventral |
| What term indicates that a patient is lying on his or her right side? | Right Lateral Re cumbent |
| What is the term that indicates when a patient is on his or her back and the x-ray beam comes into the right side of the patient | Dorsal Decubitus, Left Lateral |
| Dorsal | More commonly refers to the back but may be state to mean supine means lying on the back |
| Ventral | More commonly refers to the anterior but may be stated as prone means lying on the stomach |
| Lateral | Means lying on the side |
| Decubitus | Positions are recumbent lying positions the x-ray beam is placed horizontally. |
| Ventral Decubitus (prone) | is the act of lying on the stomach |
| Dorsal Decubitus (supine) | is the act of lying on the back |
| Decubitus generally shortened to decub has a special meaning in radiology. The simple act of lying on one's back would be referred to as lying supine, but if a horizontal x-ray beam is used the position becomes | Decubitus. The type of decubitus is determined by the body surface the patient is lying on |
| Recumbent means | lying down. Thus right lateral recumbent means the patient is lying on the right side and left lateral recumbent means the patient is lying on the left side |
| In the ventral decubitus position the patient is positioned prone and the x-ray beam comes into the patient from the right side and exits on the | left |
| In the left lateral decubitus position the patient is lying on the left side with the beam coming from the front and passing through the to the | back (anteroposterior) |
| When the patient is positioned on his or her back (dorsal decubitus) and the x-ray beam comes into the left side of the patient the positioning is | dorsal dcumitus, but the view obtained is a right lateral (because the right side is closest to the film |
| Oblique views refer to those obtained while the body ithe patient's left side s | rotated so it is not in a full anteroposterior or posteroanterior position but somewhat diagonal |
| Oblique views are termed according to the body surface on which the patient is | lying |
| The Left Anterior Oblique (LAO) position is with | rotated forward toward the table. The patient is lying on the left anterior aspect of his or her body |
| The right anterior oblique (RAO) position has the patient on his or her | right side rotated forward toward the table |
| Two more oblique views are | left posterior and right posterior oblique |
| Left posterior oblique (LPO) view the patient is | rotated so that the left posterior aspect of his or her body is against the table |
| Right Posterior Oblique (RPO) view has the patient with | the right side rotated back |
| Tangential is the | position that allows the beam to skim the body part, which produces a profile of the structure of the body |
| Axial projection | is any projection that allows the beam to pass through the body part lengthwise. |
| Professional describes the services of the | physician, including the supervision of taking of the x-ray fim and the interpretation with report of the x-ray films. |
| Technical describes the services of the | technologist, as well as the use of the equipment, film, and other supplies. |
| Global describes the combination of the | professional and technical components |
| If a patient undergoes a rad procedure in a clinic that owns it own equip, employs its own technologist, and also employs the radiologist who supervises, interprets, and reports on the rad results the | Global procedure is reported. but if the radiologist is reading and interpreting films that were taken at another facility, only the professional component would be reported for physician services. |
| When only the professional component of the service is provided, modifier ____ is placed after the code this modifier alerts the third party payer that only | the professional component was provided. Coding for the When x-ray is sent out to an independent radiologist who reads the x-rays and writes a reports of the findings use modifier -26 |
| When only the technical component was provided use modifier___If your were the coder for the independent radiology71048 that took the chest x-ray but sent it elsewhere to be interpreted, you would report the | technical component only 71048-TC |
| Third party payment is generally ___ for the professional component and ___for the technical component and ___ for the global component | 40% for the professional component, 60% for the technical component, and 100% for the global service |
| Codes in the radiology section describe only the radiology procedures, not the | Injections or placement of other material necessary to perform the procedure |
| Report the supply of contrast material with Medicine Section code | 99070 or a HCPCS code. Avoid using 99070 if there is a more definite HCPCS code available |
| The injection of the contrast material is included in the "with contrast" radiology procedure code unless | guidelines state that a surgical code should also be listed to report the injection procedure. |
| An interventional radiologist is a physician who is skilled in both the surgical procedure and the | radiology portion of and interventional radiologic service board-certified physician who specializes in minimally invasive treatments entry into the body for diagnostic purposes performed using image guidance. less risk, pain and recovery ti |
| Simple planning (clinical treatment planning | requires that there be a single treatment area that is encompassed by a single port or simple parallel opposed ports with simpe or no blocking |
| Intermediate planning requires | that there be 3 or more converging ports, 2 separate treatment areas, multiple blocks, or special time/dose contraints |
| Comples planning requires that there be highly | complex blocking, custom shielding blocks, tangential ports, special wedges or compensators, 3 or more separate treatment areas rotational or special beam consideration, or a combination of therapueutic modalities |
| Simulation is the service of | determining treatment areas and the placement of the ports for radiation treatment but does not include the administration of the radiation. |
| A simulation can be performed on a simulator designated for use only in simulations in a radiation treatment unit or on a | diagnostic x-ray machine Codes are divided into four levels of service: Simple, Intermediate, Complex, Three-dimensional |
| Stereotactic Radiation Treatment Delivery and RAdiation Treatment Delivery Reflect | Technical components only These codes report the actual delivery of the radiation. Rad tx is delivered in units called megaelectron volts (MeV) |
| A Megaelectron volt is a unit of | Energy |
| The radiation energy delivered by the machine is measured in | megaelectron volts |
| The Energy that is deposited in the patient's tissue is measure in | Gray (one Gray =100 rads; 1 centigra [cGy] =1 rad) A rad is a radiation-absorbed dose |
| a Rad is a radiation | absorbed dose |
| The therapy dose in a cancer treatment would typically be in the | thousands of rads. To report Radiation Treatment Delivery services you need to know the amount of radiation delivered and the number of the following: AREAS treated 1,2,3 or more Ports involved (single, 3 or more, tangential), Blocks used (none, multiple, |
| Intensity-modulated radiation treatment (IMRT) is reported with 77385-77387 IMRT is an advanced type of radiation therapy to treat | cancer and noncancerous tumors. The treatment of delivery manipulates beams that conform to the shape of the tumor IMRT delivery reduces the exposure to healthy tissue and alos limits the side effects of treatment. |
| Professional Component fo radiation tx management | Review of port films, Review of dosimetry, dose delivery, and tx parameters, Review of patient tx setup, Exam of the pt for med eval and management assesment of pts response to tx, coordin of care and tx, review of imagin and/or lab test results |
| can be reported in addition to 77427 tx management none of the following are NOT bundled into tx management | 77417 Port image/s, two per week per tx cours, 77300 Basic plan calculation at the onset of tx, 77263 Complex planning reported at the beginning of tx, E/M code: Usually on the 1 day of tx as either office visit or consultation service |
| A-Mode is | Oned dimensional display reflection the time it takes the sound wave to reach a structure and reflect back. This process maps the outline of the structure. A is for amplitude of sound return (echo) |
| M-Mode is | one dimensional display of the movement of structures. M stands for motion |
| B-Scan | two dimenstional display of the movement of tissues and organs B stands for brightness. The sound waves bounce off tissue or organs and are porjected onta a balck and whit TV screen |
| The strong signals display as black and the weaker signals display as lighter shades of gray. B-scan is also called | gray -scale ultrasound. |
| Real-time scan is a | two dimensional display of both the structure and the motion of tissues and organs that indicates the size, shape, and movement of the tissue or organ. Codes are often divided on the basis of the scan or mode that was used |
| Doppler Ultrasound is | the use of sound that can be transmitted only through solids or liquids and is a specific version of ultrasonography or ultrasound. used to measure moving objecst black & white or color translates black in white into color Johann Dopppler sound & light |
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