Radiology (CPC Study)

Frontal (Coronal) Plane

Divides the body into front (anterior) and back (posterior) halves

Sagittal Plane

Divides the body into right and left portions

Transverse (Axial or Horizontal) Plane

Divides the body into upper (superior) and lower (inferior) halves

Midsagittal Plane

Divides the body into equal portions of right and left

Angiography

Radiographic image of the blood vessels using contrast material.

Aortography

Radiographic imaged of the aorta and branches using contrast material.

Atherectomy

To remove plaque from an artery.

Brachytherapy

Radiation placed in or near a tumor within the body. Catheters, needles, seeds, or wires may be used.

Bronchography

Radiographic image of the bronchi of the lungs using contrast material.

Cephalogram

Radiographic image of the head

Cholangiography

Radiographic image of the bile duct

Cineradiography

Radiography of an organ in motion (for example, a beating heart)

Colonography

Radiographic image of the interior of the colon

Computed Tomography (CT)

Using specialized equipment, two-dimensional X-ray images are taken around a single axis of rotation. The images are combined to create a 3-D image or pictures of the inside of the body. These cross-sectional images of the area being studied may be examined on a computer monitor, printed or transferred to a CD

Corpora Cavernosography

Radiographic image of the corpora cavernosa and draining veins using contrast medium

Cystography

Radiographic image of the bladder

Dacryocystography

Radiographic image of the lacrimal drainage system

Discography

Radiographic image of the disc of the spine

Doppler

A type of ultrasound, especially useful for imaging blood flow. The Doppler can create images either in shades of gray or, when processed by a computer, in color

Ductogram

Imagining of the ducts in the breast

Duodenography

Radiographic examination of the duodenum and pancreas

Echocardiography

Imaging using sound waves to create a moving picture of the heart

Echoencephalography

Ultrasound image of the brain

Epidurography

Imaging of the epidural space in the spine

Fluoroscopy

A continuous X-ray image, used to view the movement of a body part, or of an instrument or dye moving through the body

Hyperthermia

A type of cancer treatment in which tissue is exposed to high temperatures (up to 113 degrees F)

Hystersalpingography

Fluoroscopic imaging (with contrast) of the uterus and fallopian tubes

Intraluminal

With the lumen

Laryngography

Radiographic image of the larnyx

Lymphangiography

Diagnostic imaging to view lymphatic circulation and lymp nodes; utilizes X-ray technology and the injection of a contrast agent

Magnetic Resonance (MR)

Magnetic fields align the protons within the body to produce image slices, which are combined to produce 3-D images that may be viewed from different angles; performed either with or without contast

Myelography

Radiographic image of the spinal cord

Nephrotomography

CT image of the kidneys

Orthopantogram

Panoramic, radiographic image of the entire dentition, alveolar bone, and other adjacent structures on a single film; taken extra-orally

Pachymetry

Measurement of corneal thickness

Pancreatography

Radiographic image of the pancreatic ducts following injection of radiopaque material

Pelvimetry

Measurement of the dimensions and capacity of the pelvis

Portography

X-ray visualization of the portal circulation using radiopaque material

Pyelography

Radiographic imaging of the renal pelvis of a kidney following injection of a radiopaque substance through the ureter or into a vein

Shuntogram

Placement of a radioactive isotope in the shunt reservoir in the head to measure the speed with which it moves to the abdomen. Shuntogram is the term used for angiography of an A/V fistula for renal dialysis

Sialography

Radiographic image of the salivary ducts and glands

Sonohysterography

Ultrasound imaging of the uterus

Splenoportography

Radiography of the splenic and portal veins; includes injection of a radiopaque medium

Teletherapy

Any treatment whereby the source of the therapeutic agent (for instance, radiation) is at a distance from the body

Transcatheter

Performed via the lumen of a catheter

Urethrocystography

Radiography of the urethra and bladder using a radiopaque substance

Urography

Imaging of the kidneys and ureters

Vasography

Radiographic image of the vas deferens and ejaculatory duct following dye injection

Velocity Flow Mapping

A non-invasive method to image blood flow through the heart by displaying flow data on the two-dimensional echocardiographic image

Venography

A radiographic image of the veins following injection of contrast dye

Xeroradiography

Creation of radiographs by photoelectric process using metal plates coated with a semi-conductor (for instance, selenium)

Anatomic Position

Erect, facing forward, arms rotated outward with the palms forward, hands open with thumbs pointed out, and feet together

Supine

Lying down on the back with face up; also known as dorsal recumbent

Prone Position

Lying face down on the front of the body; also known as ventral recumbent

Lateral Position

The side of the subject is next to the film; can be performed as erect lateral (standing side) or lateral decubitus (lying down side)

Oblique Position

Patient is lying at an angle neither prone nor supine; for example: right anterior oblique (RAO); left anterior oblique (LAO); right posterior oblique (RPO); or left posterior oblique (LPO). The anterior or posterior terminology indicates the part of the body closer to the film

Anteroposterior (AP) Radiological Projection

The X-ray beam enters the front of the body (anterior) and exits the back of the body (posterior)

Posteranterior (PA) Radiological Projection

The X-ray beam enters the back of the body (posterior) and exits the front of the body (anterior)

Lateral Radiological Projection

The X-ray beam enters one side of the body and exits the other side. Lateral projections are named by the side of the body which is placed next to the film

Oblique Radiological Projection

The X-ray beam enters at an angle which is neither frontal or through the back (AP or PA) nor lateral

Intravascularly

Using a vein or artery

Intra-articularly

In a joint

Intrathecally

Within a sheath, or within the subarachnoid or cerebral spinal fluid

Oral and/or rectal contrast administration alone does not qualify as a study with contrast. Do not code for contrast when it is given orally or rectally

TRUE

Contrast material is included with the radiological procedure and is NOT coded separately

FALSE. Code contrast material separate from the radiological procedure using HCPCS Level II. The contrast material is reported by the facility, unless the procedure is performed in a physician's office, where the physician owns the equipment

A radiologist billing for supervision and interpretation of a radiological procedure must be present at the time of the procedure, and there must be a written report

TRUE

An abdomen real-time scan includes:

Liver, gallbladder, common bile duct, pancreas, spleen, kidneys, and the upper abdominal aorta and inferior vena cava

Screening mammograms are always bilateral

TRUE. However, diagnostic mammograms can be bilateral or unilateral, and focus on a sign or symptom

Radiopharmaceuticals used in nuclear medicine are not included in the coding of tests

TRUE. Code radiopharmaceuticals using HCPCS Levell II, and code for the facility providing the medicine

Dosimetry

The calculation of the doses of radiation

Patient are typically administered radiation treatments in measurements called:

Fractions

Two most common modifiers used in radiological services

26 Professional Services; TC Technical Services. In addition, 76 Repeat procedure or service by same physician; 77 Repeat procedure or service by another physician; 79 Unrelated procedure or service by the same physician during the postoperative period; RT Right; LT Left

Technical Components include:

Cost of equipment, overhead of supplies and resources, such as the room, electricity, and the salary of the radiology technician. The technical component is reported by the facility or office who owns the equipment.

In order for a provider to code for interpretation and report of a procedure, the provider's specialty must be in radiology

FALSE. Of note, the interpretation and report of the radiological service is considered the professional component and is indicated by modifier 26 to the CPT code assigned

A facility owning the equipment and employing the radiologist/physician may bill for both the technical and professional component.

TRUE. Both components together are considered "global".