9959602447 TransCode Solutions 9985277066

TRANSCODE SOLUTIONS
CPT 70,000 series Questions:30X2=60mints
1. A 30 years old male came to the clinic with shortness of breath. Doctor orders chest X-ray,
frontal and lateral with fluoroscopy.

s
A.71020X2, R06.03
B.71020X2,R06.02

on
C.71015, R06.03
D.71032, R06.02

ti
D - chest X-ray 2 views, frontal and lateral with fluoroscopy (71032), shortness of breathe
(R06.02).

u
2. A patient present for an CT, thorax, without contrast material followed by contrast materials.

ol
A.72074
B.72130
C.72129
S
D.71270

D - CT, thorax (Chest mean the same), without contrast material followed by contrast materials
e

(71270).
od

3. A 40 years old female came to the clinic with severe back pain, unable to bend or sit
properly. Doctor ordered X-ray of thoracic spine, 4 views and also lumbosacral, complete
including bending 10 views. Code only for professional component.
A.72074, 72114
C

B.72073X1, 72110X2
C.72114, 72074
ns

D.72074-26, 72114-26

D - X-ray of thoracic spine, 4 views (72074) and also lumbosacral, complete including bending
ra

minimum 6 views but maximum it can be any no. of view,

T

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

therefore for 10 views code (72114). To be noted code only for professional component is there
so 26 should be added for the codes.

4. Marcy is a 30 years old female came to clinic for Pyelography, infusion bolus technique with
nephrotomography.

A.74425

s
B.74480
C.74415

on
D.74410

C- Pyelography (also called urography), infusion bolus technique (and/or drip) with
nephrotomography (74415).

ti
5. Hanna came for her annual screening mammogram, which revealed a mass in her left breast.

u
After reading screening mammogram, doctor scheduled for computer aided detection
screening mammography 2-view film study of each breast.

ol
A.77055-26-LT, 77051-26-LT
B. 77057-26, 77052-26-LT, 77051-59-LT
C.77057, 77052
S
D.77057, 77052-59

C - Computer aided detection screening mammography 2-view film study of each breast
e

(bilateral) (77057, 77052).

od

6. On Tuesday patient underwent 4 quantitative differential pulmonary perfusion and

ventilation studies with imaging. How should you report the service?
C

A.78582, 78597X4
B.78598X4
C.78598
ns

D.78598X4, 78451

C - 4 Quantitative differential pulmonary perfusion and ventilation studies with imaging. It is

ra

noted in parenthesis (Report code 78598 only once per imaging session), therefore no need of
assigning X4 for code 78598.

7. Emma came for her annual screening mammogram, which revealed a mass in her left breast.
T

After reading screening mammogram, doctor scheduled for computer aided detection bilateral
screening mammography.

A. 77056-26-LT, 77051-26-LT
B. 77057,77052

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

C. 77057-26, 77052-26-LT, 77051-59-LT

D.77056, 77051-50

B- Computer aided detection bilateral diagnostic mammography (77057,77052), word bilateral

is included, so no need of assigning modifier 50.

8. On the same date of service (DOS), if an AP chest x-ray is performed at 7:00 am and read by

s
Dr. A and at 10:30 am another AP chest x-ray is performed and read by Dr. A, the correct
modifier(s) to be assigned to these codes to describe the physicians reading of these studies in

on
a hospital-based setting are (is):

A. 71010 -26 and 71010 -26

B. 71010 and -76 and 71010 -76

ti
C. 71010 -26 and 71010 -26, -76
D. 71010 -26 and 71010 -26, -77

u
C- On the same DOS, if an AP chest x-ray is performed at 7:00 am and read by Dr. A and at10:30

ol
am another AP chest x-ray is performed and read by Dr. A, the correct modifier(s) tobe assigned
to these codes to describe the physicians’ reading of these studies in a hospital based setting
are 71010-26 and 71010-26, -76.
S
9. On the same DOS, if an AP chest x-ray is performed at 7:00 am and read by Dr. A and at 10:30
am another AP chest is performed and read by Dr. B, the correct modifier(s) to be assigned to
e
these codes to describe the physicians reading of these studies in a hospital-based setting are
(is):
od

A.71010 -26 and 71010 -26

B.71010 and -76 and 71010 -76
C.71010 -26 and 71010 -26, -76
C

D.71010 -26 and 71010 -26, -77

ns

D - On the same DOS, if an AP chest x-ray is performed at 7:00 am and read by Dr. A and at
10:30 am another AP chest is performed and read by Dr. B, the correct modifier(s) to be
assigned to these codes to describe the physicians’ reading of these studies in a hospital-based
setting are 71010-26 and 71010-26, -77.
ra

10. On the same DOS, if an AP chest x-ray is performed at 7:00 am and read by Dr. A and at
10:30 am an AP and lateral chest x-ray is read by Dr. B, the correct modifier(s) to be assigned to
T

these codes to describe the physicians reading of these studies in a hospital-based setting are
(is):

A.71010 -26 and 71010 -26, -76

B.71010 -26 and 71010 -26, -77
C.71020 -26 and 71010 -59

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

D.71010 -26, -59 and 71020 -26

D - On the same DOS, if an AP chest x-ray is performed at 7:00 am and read by Dr. A and at
10:30 am an AP and lateral chest x-ray is read by Dr. B, the correct modifier(s) to be assigned to
these codes to describe the physicians’ readings of these studies in a hospital based setting are
71010-26, -59 and 71020-26.

s
11. When billing for a percutaneous radiofrequency ablation of a liver tumor, the appropriate
(S&I) supervision and interpretation code is:

on
A. 77013
B. 77022
C. 76940
D. Any of the above, based upon the imaging modality used

ti
D - Report one of the 76xxx or 77xxx guidance codes based upon the specific (i.e., CT, US or

u
MRI) modality utilized. Also report the code 47382 as this specifically states “percutaneous” in
its definition.

ol
12. When billing for US guided RF ablation of sites other than the liver, kidney or lung, which
codes should be assigned?
S
A. 76940 and 32998
B. 76940 and 47382
C. 76940 and 50592
e
D. 76940 and xxx99
od

D - Codes 76940 and xxx99 most appropriately define the performance of these services.

13. If under imaging guidance a ureteral stent is exchanged through an ileal conduit, the correct
codes are:
C

A. 76942 and 50688

B. 77002 and 50688
ns

C. 75984 and 50688

D. A low-level E&M code

C - If under imaging guidance a urethral stent is exchanged through an ileal conduit, the correct
ra

codes are 75984 and 50688.

14. If performing RF ablation of a pulmonary tumor of the right or left lung under CT guidance,
T

this should be coded as:

A. 77013 and 32999
B. 77013 and 32998
C. 77014 and 32405
D. None of the above

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

B - If performing RF ablation of a pulmonary tumor of the right or left lung under CT guidance,
this should be coded as 77013 and 32998.

15. If three discrete pulmonary tumors are treated with radiofrequency ablation in a single lung
under US guidance, this should be coded as:
A. 76940 and 32998 (x3)
B. 76940 (x3) and 32998 (x3)

s
C. 76940 (x3) and 32998
D. 76940 and 32998

on
D - If three discrete pulmonary tumors are treated in a single lung under US guidance, this
should be coded with a single unit of 76940 and 32998 only.

ti
16. If imaging is performed of just one kidney or of just the aorta, the correct CPT code for this
study is:

u
A. 76700
B. 76705

ol
C. 76775
D. 76770 S
C - imaging documentation is “limited” to one kidney or of just the aorta, the correct CPT code
76775.
e
17. If transvaginal examination is done in addition to transabdominal non-obstetrical
ultrasound exam use 76830 in addition to appropriate transabdominal code.
od

a. True
b. False
A –True (see parenthical note below code 76830).
C

18. A unilateral MRI of the breast with CAD is coded:

A. 77059, 0159T
ns

B. 77058, 77051
C. 77058, 0159T
D. 77055, 77051
ra

C - Unilateral MRI of the breast (77058) with CAD is coded (0159T).

19. A percutaneous gastrostomy tube is placed (10day postop period) and 7 days later the tube
T

becomes dislodged, necessitating the placement of another Gtube. The most appropriate
modifier for this second tube placement is:
A. 58
B. 78
C. 79
D. 76

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

B - Appropriate modifier is “78” as it was an unplanned return to the operating room and
following initial or related procedure during postoperative period.

20. What type of contrast administration do not qualify as a study “with contrast”?
A. oral and/or extra vascular
B. oral and /or intrathecal

s
C. oral and /or intravascular
D. oral and /or rectal

on
D - oral and /or rectal are “not a contrast materials” but Intravascular, Intra-articular or
intrathecal are “contrast materials”.

ti
21. A patient is admitted to the hospital for insertion of 15 interstitial radiation ribbons. How
would the facility report the radiology services?

u
A.77778
B.99222, 77763

ol
C.77777-TC
D.77762 x 15
A - The guidelines for clinical brachytherapy indicate that admission to the hospital is included
S
with these services. There are definitions of simple, intermediate, and complex, with numbers
of ribbons or sources.
e
22. 7) EXAMINATION OF: Chest.
CLINICAL SYMPTOMS: Pneumonia.
od

PA AND LATERAL CHEST X-RAY WITH FLUOROSCOPY

CONCLUSION: Ventilation within the lung fields has improved compared with previous study.
A. 71020-26, J18.9
B. 71034, J18.9
C

C. 71023, J18.9
D. 71023, J18.1
ns

C – Pneumonia (J18.9); PA AND LATERAL CHEST X-RAY WITH FLUOROSCOPY (71023).

23. This patient undergoes a gallbladder sonogram due to epigastric pain. The report indicates
ra

that the visualized portions of the liver are normal. No free fluid noted within Morison’s pouch.
The gallbladder is identified and is empty. No evidence of wall thickening or surrounding fluid is
seen. There is no ductal dilatation. The common hepatic duct and common bile duct measure
T

0.4 and 0.8 cm, respectively. The common bile duct measurement is at the upper limits of
normal. Report professional component only.
a. 76700-26, R10.13
b. 76705-26, R10.13
c. 76775-26, R10.12
d. 76705, R10.11

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

B - Epigastric pain (R10.13); Ultrasound of abdomen but in limited (76705-26). Above code
76700 gives a guideline of using code 76700, listing the name of organs including any
demonstrated abdominal abnormality.

24. This 56-year-old female is in for a magnetic resonance examination of the brain because of
recurrent convulsions. After imaging without contrast, contrast was administered and further
sequences were performed. Examination results indicated no apparent neoplasm or vascular

s
malformation.
A. 705552, 70553-26, R56.9

on
B. 70552, R56.R56.1
C. 70553, R56.9
D. 70553, ER56.00

ti
C - 70553 (magnetic resonance examination of the brain, imaging without contrast, contrast
was administered and further sequences) - R56.9 (recurrent convulsions).

u
25. EXAMINATION OF: Brain.

ol
CLINICAL FINDING: Headache.
COMPUTED TOMOGRAPHY OF THE BRAIN was performed without contrast material.
FINDINGS: There is blood within the third ventricle. The lateral ventricles show mild dilation
S
with small amounts of blood.
IMPRESSION: Acute subarachnoid hemorrhage.
A. 70460-29, I61.0
e
B. 70250, I60.9
C. 70450-26, I60.9
od

D. 70450-26, I61.0

C - 70450-26 (CT of brain without contrast material), I60.9 (Acute subarachnoid hemorrhage).
C

26. This patient is a 45-year-old female came with pain in left breast. Physician performed
ultrasound of left breast in right and left upper quadrants and right lower quadrant.
ns

A. 76604
B. 76641
C. 76642
ra

D. 76642X3

C – Ultrasound of breast limited 76642 should be assigned as less than 4 quadrants were
T

performed.

27. Report both the technical and professional components of the following service: This 68-
year-old male is seen in Radiation Oncology Department for prostate cancer. The oncologist
performs a complex clinical treatment planning, dosimetry calculation, a complex isodose plan;

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000

 9959602447 TransCode Solutions 9985277066

treatment devices include blocks, special shields, and wedges. The patient had 5 days of
radiation treatments for 2 weeks, a total of 10 days of treatment.
A. 77263, 77300, 77315, 77334, C61
B. 77300, 77315, 77334, 77427 ×2, C61
C. 77263, 77300, 77315, 77334, 77427 ×2, C61
D. 77263, 77427 ×2, C61

s
C - 77263 (complex clinical treatment planning), 77300 (dosimetry calculation), 77315 (isodose
plan, complex), 77334 (treatment devices, include blocks, special shields, and wedges), 77427

on
×2 (radiation treatments management for 10 days. Code 77427 is assigned for 5days so as the
treatment went for 10days assign code 77427 ×2), 185 (Malignant neoplasm of prostrate).

28. Ultrasound of pregnant uterus real time with image documentation fetal and maternal

ti
evaluation per formed in transabdominal approach, for a patient with 14 weeks of gestation
who is expecting twins.

u
A. 76801, 76802
B. 76801,76802X2

ol
C. 76805, 76810
D. 76805, 76810X2 S
C- 76805, 76810

29. A carcinoma patient came to radiation oncology department for further treatment.
e
Radiation oncologist performed clinical treatment planning for three treatment areas and he
performed simulation field setting also for two treatment areas. Assign appropriate CPT codes?
od

A. 77263, 77290
B. 77263, 77285
C. 77262, 77290
D. 76261, 77285
C

B – Clinical treatment planning of three treatment areas are defined as complex (77263)and
ns

simulation field aided setting of two treatment areas are defined as intermediate (77285)

30. If the injection is given intrathecally, in which of the following places the injection is being
given?
ra

A. Arteries
B. Veins
T

C. Spinal canal
D. Joints
C- Intrathecal injection given into the spinal canal.

2, A-Block, Ameer Estate, Beside ICICI Bank,SR Nagar, Hyderabad-5000