I need your help with these questions please (I need the CPT codes for them) (the class is medical billing and coding)

I need your help with these questions please (I need the CPT codes for them) (the class is medical billing and coding)

 

1- The patient had a fine needle aspiration biopsy of a testicular mass under ultrasound guidance. What is the correct code assignment? 

 

 

 

2- – What is the correct coding assignment for percutaneous insertion of pleural indwelling catheter inserted for drainage under fluoroscopic guidance? 

 

 

 

3-  MRI Scan of the Pelvis

 

 

 

 

 

Clinical History: Reported fullness, status post hysterectomy and right side oophorectomy

 

Technique and Findings: Images through the pelvis were obtained utilizing axial, sagittal, and

 

coronal projections. Pre- and post-contrast images were also obtained. Sagittal images show normal

 

appearance of the fluid-filled bladder. There is a linear-type low signal structure interspersed between

 

what appears to be the rectum and bladder. This appears to be a continuation of the vaginal cuff and

 

perhaps represents scar tissue. This does not show any specific enhancement. I do not believe this

 

represents any bowel. The remainder of the pelvis is otherwise unremarkable without findings of any

 

free fluid or unusual adnexal masses. The osseous structures are unremarkable to include the iliac

 

bones in both hips.

 

 

 

 

 

Impression: Linear shelf-like low attenuation signal interspersed between the fluid-filled cystic bladder

 

and rectum. I am unclear to the exact significance of this finding. This may well represent a component

 

of fibrosis or scar. This does not show any enhancement with contrast. I do not believe this represents

 

any bowel loop. My recommendation for further evaluation would be CT scan of the pelvis with intravenous contrast to opacity the bladder and also rectal contrast to delineate the boundaries of the rectum. No clear indication of any contained mass or obvious free fluid.

 

 

 

 What is the appropriate CPT code? 

 

 

 

4- – MRI Thoracic Spine, no contrast

 

 

 

Reason for Exam: Injury

 

 

 

The thoracic spine was examined and revealed chronic anterior wedging of T11 and T12 vertebral bodies.

 

 

 

What is the appropriate CPT code? 

 

 

 

 

 

5- General Radiology

 

 

 

Chest, Posteroanterior (PA) and Lateral

 

 

 

Cardiomegaly is again noted. Left-sided pleural effusion is present. Increase interstitial lung markings

 

are present bilaterally. No pneumothorax. Patchy airspace opacities in the mid-lungs bilaterally are

 

present but slightly less prominent than on the previous portable chest-x-ray. Indistinctness of the hila

 

is present. Bony structures are stable.

 

 

 

Impression: Cardiomegaly with indistinct hila and increased interstitial markings. This is favored to

 

represent pulmonary edema. Recommend clinical correlation and follow plain films.

 

 

 

What is the appropriate CPT code?

 

 

 

 

 

6- KUB and Intravenous Pyelogram

 

 

 

The KUB is normal. No urinary calcifications can be identified.

 

Following the intravenous iniection, there is a good delineation of the urinary tract. The kidneys are

 

small, measuring 9.5 cm in their greatest length. The renal collecting system, ureters, and bladder

 

appear normal.

 

 

 

Opinion: The kidneys measure slightly small. The urinary tract is otherwise normal.

 

 

 

What is the appropriate CPT code? 

 

 

 

 

 

7- X-ray of Hip- AP view only

 

 

 

Indication: Left hip replacement

 

 

 

Left hip prosthesis has been placed with no radiographic evidence of procedural complication.

 

 

 

What is the appropriate CPT code?