OMVIC CHAPTER 17 EXAM WITH COMPLETE
SOLUTIONS GRADED A
A patient arrives at the urgent care facility with a swollen ankle. Anteroposterior and
lateral view X-rays of the ankle are taken to determine whether the patient has a
fractured ankle. What CPT® code(s) is/are reported? - ✔✔73600
Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range 73600-
73610. There were two views taken (anteroposterior and lateral views), so CPT® code
73600 is correct.
AP and Lateral chest X-rays were performed for a cough. What CPT® and ICD-10-CM
codes are reported? - ✔✔71046, R05
Rationale: In the CPT® Index look for X-ray/Chest and you are guided to code range
71045-71048. In looking at the descriptions, this is a 2-view chest X-ray. In the AP
(Anteroposterior) position the X-ray beam enters the front of the body and exits through
the back. In the lateral position, the X-ray beam enters through the side of the body.
This is reported with 71046. Look in the ICD-10-CM Alphabetic Index for cough and you
are directed to R05
An axillary view might be included in an X-ray of what part of the skeleton? -
✔✔Shoulder
Rationale: The axillary view is an X-ray view taken of the shoulder.
Which plane divides the body into anterior and posterior halves? - ✔✔Coronal
, Rationale: The coronal (frontal) plane cuts the body into front (anterior) and back
(posterior) halves.
A patient arrives at the hospital unable to stand on his leg after a collision in a soccer
game. The patient's shin is sore to the touch. Two view X-rays of the tibia and fibula are
taken. What is the CPT® code reported by the radiologist for the X-rays? - ✔✔73590-
26
Rationale: In the CPT® Index look for X-ray/Fibula, or X-ray/Tibia; either one leads you
to 73590. Modifier 26 is needed because the X-ray is taken at the hospital and only the
professional component is billed by the physician.
What ICD-10-CM codes are reported for a radiotherapy session? - ✔✔Z51.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Radiotherapy session which
directs you to Z51.0. Verify code selection in the Tabular List.
A patient with hydronephrosis has a left nephrostomy and he has agreed to a
pyelography (IVP) to rule out a right renal obstruction. The patient was placed prone on
the X-ray table one hour after IV infusion of contrast. Contrast flowed from the left and
right renal pelvis, down the ureters into the bladder where a Foley catheter was
positioned. The IVP showed no obstruction or abnormalities in the urinary tract aside
from the left hydronephrosis of the pelvis. The right kidney and ureter showed no
obstruction. Bladder appeared within normal limits. What CPT® code is reported for the
radiological services? - ✔✔74400-26
Rationale: A radiographic exam of the urinary tract is performed with IV injection of
contrast medium and radiographs are taken. This is performed to assess the anatomy
and function of the kidneys, bladder, and ureters. In the CPT® Index look for X-ray/with
SOLUTIONS GRADED A
A patient arrives at the urgent care facility with a swollen ankle. Anteroposterior and
lateral view X-rays of the ankle are taken to determine whether the patient has a
fractured ankle. What CPT® code(s) is/are reported? - ✔✔73600
Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range 73600-
73610. There were two views taken (anteroposterior and lateral views), so CPT® code
73600 is correct.
AP and Lateral chest X-rays were performed for a cough. What CPT® and ICD-10-CM
codes are reported? - ✔✔71046, R05
Rationale: In the CPT® Index look for X-ray/Chest and you are guided to code range
71045-71048. In looking at the descriptions, this is a 2-view chest X-ray. In the AP
(Anteroposterior) position the X-ray beam enters the front of the body and exits through
the back. In the lateral position, the X-ray beam enters through the side of the body.
This is reported with 71046. Look in the ICD-10-CM Alphabetic Index for cough and you
are directed to R05
An axillary view might be included in an X-ray of what part of the skeleton? -
✔✔Shoulder
Rationale: The axillary view is an X-ray view taken of the shoulder.
Which plane divides the body into anterior and posterior halves? - ✔✔Coronal
, Rationale: The coronal (frontal) plane cuts the body into front (anterior) and back
(posterior) halves.
A patient arrives at the hospital unable to stand on his leg after a collision in a soccer
game. The patient's shin is sore to the touch. Two view X-rays of the tibia and fibula are
taken. What is the CPT® code reported by the radiologist for the X-rays? - ✔✔73590-
26
Rationale: In the CPT® Index look for X-ray/Fibula, or X-ray/Tibia; either one leads you
to 73590. Modifier 26 is needed because the X-ray is taken at the hospital and only the
professional component is billed by the physician.
What ICD-10-CM codes are reported for a radiotherapy session? - ✔✔Z51.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Radiotherapy session which
directs you to Z51.0. Verify code selection in the Tabular List.
A patient with hydronephrosis has a left nephrostomy and he has agreed to a
pyelography (IVP) to rule out a right renal obstruction. The patient was placed prone on
the X-ray table one hour after IV infusion of contrast. Contrast flowed from the left and
right renal pelvis, down the ureters into the bladder where a Foley catheter was
positioned. The IVP showed no obstruction or abnormalities in the urinary tract aside
from the left hydronephrosis of the pelvis. The right kidney and ureter showed no
obstruction. Bladder appeared within normal limits. What CPT® code is reported for the
radiological services? - ✔✔74400-26
Rationale: A radiographic exam of the urinary tract is performed with IV injection of
contrast medium and radiographs are taken. This is performed to assess the anatomy
and function of the kidneys, bladder, and ureters. In the CPT® Index look for X-ray/with
