CPT Radiology
Q.1. Erin, a 45-year-old, asymptomatic female comes in for her annual
bilateral screening mammography. Her physician ordered a computer-
aided detection along with the mammography. The procedure was
performed in a hospital. How would you report the professional services
for this study?
(a) 77067-26
(b) 77066-26, 77051-26-59
(c) 77061-26, 77063
(d) 77067-50-26
Q.2. A patient presents to a freestanding radiology center and had
ultrasonic guidance needle placement with imaging supervision and
interpretation of two separate lesions in the left breast. The procedure
required several passes to complete. How would you report the imaging
procedure?
(a) 76930 x 2
(b) 76941
(c) 76942 x 2-LT
(d) 76942-LT
Q.3. Sally had a DXA bone density study for her hips, pelvis, and spine. The
procedure was performed in a hospital. How would you report for the
professional services of this study?
(a) 77078-26, 77080-26
(b) 77080-26
(c) 77082-26
(d) 77081-26, 77080-26
Q.4. How is proton beam treatment delivery defined?
(a) Simple, Complex, and Compound
(b) Simple, Complex, and Intermediate
(c) Superficial, Deep Vein, and Distal
(d) Simple, Complicated, and Comprehensive
Q.5. A patient had a Tomographic Myocardial Perfusion imaging single
study at rest with quantification, ejection fraction, and wall motion study.
The procedure was performed in the nuclear medicine department of the
hospital. How would you report the professional services for this study?
(a) 78473-26
(b) 78451-26
(c) 78452-26
(d) 78453-26
Q.6. Which of the following codes are unlisted procedures?
(a) 76498, 78199, 76496, 77799
(b) 75600, 75801, 76506, 76830
(c) 74181, 74280, 75564, 75600
(d) 75810, 75801, 75860, 75983
Q.7. How does cardiac magnetic imaging differ from a traditional MRI?
(a) In its ability to provide a physiologic evaluation of cardiac function
(b) In its ability to provide a measurement of the cardiac output
(c) In its ability to provide only a one dimensional view of the heart
(d) In its ability to provide only mapping points for cardiac regurgitation.
Q.8. Jim is received two fractions of high dose electronic brachytherapy at
a free-standing oncology center. What code(s) report this service?
(a) 77778, 0394T x 2
(b) 77761 x 2
(c) 0394T x 2
(d) 77799
Q.9. A CT study of the lumbar spine (L2–L4) was performed with IV
contrast in the hospital outpatient radiology department and the
interpretation of the images is performed by the radiologist. What CPT®
code(s) should be reported by the radiologist who is not an employee of
the hospital?
(a) 72132-TC
(b) 72132
(c) 72132-26
(d) 72132-26, 72132-TC
Q.10. 56-year-old female is having a bilateral mammogram with computer
aid detection conducted as a screening since the patient has had a
previous cyst in the right breast. What radiological services are reported?
(a) 77054, 77061
(b) 77067-50
(c) 77067
(d) 77067,77063
Q.11. 63 year-old patient with bilateral ureteral obstruction presents to an
outpatient facility for placement of a right and left ureteral stent along
with an interpretation of a retrograde pyelogram. What codes should be
reported?
(a) 52332, 74000
(b) 52332-50, 74420-26
(c) 52005, 74420
(d) 52005-50, 74425-26
Q.12. 76-year-old female had a ground level fall when she tripped over her
dog earlier this evening in her apartment. The Emergency Department
took x-rays of the wrist in oblique and lateral views which revealed a
displaced distal radius fracture, grade I open right wrist. What radiological
service and ICD-10 codes should be reported?
(a) 73100-26, S52.501A, W01.0XXA, Y92.009
(b) 73110-26, S52.509D, W01.0XXB, Y92.002
(c) 73115-26, S52.509D, W01.0XXB, Y92.002
(d) 73100-26, S52.501B, W01.0XXA, Y92.009
Q.13. A CT density study is performed on a post-menopausal female to
screen for osteoporosis. Today’s visit the bone density study will be
performed on the spine. Which CPT code should be used?
(a) 77075
(b) 77080
(c) 77078
(d) 72010
Q.14. The patient is 15 weeks pregnant with twins coming back to her
obstetrician to have a transabdominal ultrasound performed to reassess
anatomic abnormalities of both fetuses that were previously
demonstrated in the last ultrasound. What code(s) should be used for this
procedure?
(a) 76815
(b) 76816, 76816-59
(c) 76801, 76802
(d) 76805, 76810
Q.15. 82-year-old female with a right leg medial malleolar non-healing
ulcer elected to proceed with peripheral angiography. Using a RIM
catheter, from a left femoral artery access, the contralateral right iliac
artery was accessed and the catheter was gradually advanced to the right
common femoral artery. The right lower extremity angiography was
performed with both C02 injection and subsequently localized pictures of
femoral distal bypass grafts were performed using contrast injections.
This revealed the right superficial femoral artery is 100% occluded at its
origin. Decision for angioplasty was made and intervention was
performed through this area with a 7 mm x 20 mm balloon inflated up to
7 atmospheres. The gradual inflation resulted in enlarging the artery to a
more normal flow of blood. What CPT® codes is/are reported?
(a) 37224, 75716-26-59
(b) 37224, 75710-26-59
(c) 35472, 36246, 75962-26-59
(d) 37220, 75710-26-59
Q.16. 53-year-old woman with ascites consented to a procedure to
withdraw fluid from the abdominal cavity. Ultrasonic guidance was used
for guiding the needle placement for the aspiration. What CPT codes
should be used?
(a) 49083, 76942-26
(b) 49082, 76942-26
(c) 49083
(d) 49083, 76998-26
Q.17. The physician requests a dual energy absorptiometry of the foot.
Which code should be reported for this diagnostic test?
(a) 77080
(b) 77081
(c) 77079
(d) 77077
Q.18. Radiation treatment delivery is provided by a radiation treatment
facility for a patient with anaplastic large cell lymphoma for two
intrathoracic lymph nodes at 2 MeV in one treatment area using a single
port, with one simple block. What is the appropriateCPT® code for this
procedure?
(a) 77401
(b) 77402
(c) 77407
(d) 77412
Q.19. A patient with colon cancer receives seven radiation treatments.
During the course of the treatments, the physician views the port films,
reviews the treatment parameters, and assesses the patient’s response to
the treatment. Code for the radiation treatment management.
(a) 77427
(b) 77431 x 4
(c) 77427 x 2
(d) 77427, 77431
Q.20. A 78-year-old with lower back pain and leg pain is scheduled for an
MRI of lumbar spine without contrast. Following the MRI, the patient is
diagnosed with spinal stenosis of the lumbar region. What are the
procedure code?
(a) 72020
(b) 72149
(c) 72148
(d) 72158
Q.21. A 46-year-old female with history of cervical carcinoma. She
underwent placement of an ileal conduit, with subsequent development
of left hydronephrosis. A retrograde ureteral catheter was recently placed.
She returns today for catheter exchange. Patient was placed in the supine
position. The ileal conduit was accessed. The existing catheter was
removed over a guidewire and replaced with a similar 10 French 50 cm
long locking pigtail catheter. Contrast was injected, confirming good
position.
IMPRESSION: Left retrograde ureteral catheter exchange via the ileal
conduit.
(a) 50398, 75984
(b) 50393, 74480
(c) 50385
(d) 50688, 75984
Q.22. The physician orders an ultrasound on a patient 25 weeks pregnant
with twins to access fetal heart rate and fetal position. Select the code(s).
(a) 76805, 76810
(b) 76811, 76812
(c) 76816 x 2
(d) 76815
Q.23. Due to an elevated CEA level two years following a colon resection,
the patient’s oncologist ordered a diagnostic liver ultrasound. Code this
encounter.
(a) 76700
(b) 78220
(c) 76705
(d) 76970
Q.24. The physician orders a heart CT without contrast. The tests will
evaluate the amount of coronary calcium. What is the correct code?
(a) 75571
(b) 75572
(c) 75574
(d) 75557
Q.25. A 42-year-old has a lesion on his pancreas. The physician passes the
biopsy needle through the skin and removes tissue to be sent to
pathology. Fluoroscopic guidance is used to obtain the biopsy. Code this
encounter.
(a) 48100, 77002
(b) 48102, 77002
(c) 48120, 76942
(d) 48102, 76942
ANSWERS :–
1-A , 2-C , 3-B , 4- B, 5-B , 6-A , 7-A, 8-C, 9-C, 10-
C,
11-B , 12-A , 13-C , 14-B , 15- B, 16-C , 17-B , 18- B, 19-
A , 20-C ,
21-D , 22-D, 23-C , 24-A , 25-B
