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Clinical Examples in Radiology (CER) online newsletter is provided for coding professionals to test their knowledge based on review of relevant modern case studies. In this issue learn how to code in the case of a patient with a history of sacroiliac (SI) joint pain and lumbar spinal fusion. Following administration of intravenous Tc-99m methylene diphosphonate (MDP), anterior and posterior whole-body planar images were obtained. Single-photon emission computed tomography/computed tomography (SPECT/CT) images were obtained of the chest, abdomen, and pelvis. SPECT images were attenuation-corrected using CT, which was also used for anatomic correlation. Apply coding techniques in the case of a patient with active inflammatory disease in the colon, with abdominal pain. Magnetic resonance (MR) enterography of the abdomen and pelvis was performed prior to and following contrast administration, including coronal ultrafast spin echo sequences, pre- and post-contrast coronal sequences, and a coronal balanced steady-state gradient echo sequence. In the documentation challenge, identify the proper codes to report a labrum tear. Using fluoroscopic guidance, a 22-gauge needle was placed into the anterior superior aspect of the hip joint, and a mixture of iohexol 300 and gadoteridol was injected. The patient was subsequently sent for additional magnetic resonance imaging (MRI). The radiology test in this issue highlights the performance of therapeutic right rotator cuff calcific tendinitis treatment (barbotage) and subacromial-subdeltoid bursal injection using ultrasound guidance, for a patient with right shoulder pain and decreased range of motion. Dive deeper into these cases and challenge your coding skills with the Spring 2021 issue of Clinical Examples in Radiology.
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The CPT® code set is more than a terminology. It is a system for reimbursement, an enabler of research, a tool for reducing administrative burden and it is a method of accelerating medical innovation.
© 2021 American Medical Association and American College of Radiology. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical photocopying, recording, or otherwise, without the prior written permission of the publisher. CPT® is a registered trademark of the American Medical Association.
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