# BAS 04 Radiology
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CAT Scan | Computerized Axial Tomography.
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MRI | Magnetic Resonance Imaging
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Fluoroscopy | Xray exam in real time. Body organ is displayed on a monitor for doctor to view as a surgical procedure is performed.
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Professional Component | Either supervision or interpretation of an Xray. (modifier -26)
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Technical Component | Portion of Xray exam done by technicians. Includes materials used during the procedure. Modifier -TC
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Stark Law | Part of the new insurance federal insurance plan. Requires doctors to refer patients to all imaging sources; not just the ones the doctor has a financial interest in.
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Contrast | A medium that is injected into a patient to enhance scanned or Xray images.
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Modifier -51 | Multiple procedures
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bilateral | both sides
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supine | lying on the back
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prone | lying face down
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AP | front (anterior) to back (posterior) path of beam
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PA | back to front path of beam
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proximal | close to
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distal | far from
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tangental | Xray beam skims the surface or edge of of the body part.
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Plus code | CPT code that is added to another related code.
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oblique | diagonal line
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Multiple procedure modifier | -51
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Bilateral procedure modifier | -50
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When do you use a modifier for an Xray that requires contrast medium | This is found in the CPT notes.
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S&I | Supervision and Interpretation, or
Scanning & Imaging
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dosimetry | Measurement of the effects of radiation on tissues.
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-26 | Modifier for Professional component
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-TC | Modifier for Technical component
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When you see "with contrast" as part of a code description you cannot charge for... | contrast medium or the injection.
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Interventional radiology is used for location and treatment. Here the doctor is: | Both a radiologist and a surgeon
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When an xray needs contrast material and the code does not have "with contrast" you can: | code for the injection
code for the contrast material injected
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Angiograpny | Xray of blood vessel
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A doctor has a patient visit an xray clinic for a chest xray. The clinic does the procedure and sends the doctor the xray. What does the clinic charge for: | The clinic charges for the procedure and materials required.They also need to use modifier -TC
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supine | lying on the back
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Prone or Ventral position | lying on stomach
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ventral decubitus | lying on stomach with Xray beam aimed at the side.
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RAO | right anterior oblique. Body is diagonal to beam. The beam projects back to front
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LPO | left posterior oblique. Body is diagonal to beam. The beam projects from front to back.
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Dorsal | back
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What is the code for: Code for a complete chest Xray four views. Technical component only. | 71030-TC
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What is the code for a complete chest Xray, four views - Professional component only | 71030-26
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Component or combination coding | A code from the Radiiology sections and a code from another section of the CPT book is required to fully describe the procedure.
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position | How the pt. is placed (positioned) for the Xray
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projection | The path of the Xray beam. Indicates the direction through the patient.
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lateral | to the side
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right lateral | pt. right side is closest to the film.
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left lateral | pt. left side is closest to the film.
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Ventral | Refers to the front. May be stated as "prone" Means that pt. is lying on stomach
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Decubitus positions | Recumbent (lying down) Xray beam goes into the patient's side (horizontal).
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recumbent | lying down.
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global | Both professional and technical components. No modifier is used if you code for global procedure.
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-52 | Modifier 52 is used to indicate less of the procedure was performed than is described by the code.
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ultrasound | Use of high frequency sound waves to diagnose and treat disease.
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A doctor injects a contrast material into the patient. A technician takes the Xrays The doctor performs S&I for an Xray. How many codes are there? | 1. code for the injection 2. One code for the global Xray (both technical and professioinal)
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A CXR complete 4 views is ordered. There could only be 3 views completed. What is the code? | CXR 71030 for the Xray Modifier -52 to indicated that less than 4 views were taken.
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interventional radiology | sub-specialty of radiology which utilizes minimally-invasive image-guided procedures to diagnose and treat diseases in nearly every organ system.
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