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 postmenopausal patient with an intermediate grade ductal carcinoma in situ (DCIS) with calcifications and focal comedo necrosis in the right breast. The indication for computed tomography (CT) imaging is the evaluation for extent of disease and the history of newly diagnosed right breast DCIS. The patient is unable to undergo magnetic resonance imaging (MRI) due to an MRI-incompatible aneurysm clip. Apply coding techniques in the case of a patient with abdominal pain, suspicion for a retroperitoneal mass, and to rule out renal infarction. Multiplanar sonographic images of the retroperitoneal organs were obtained with grayscale, color, and spectral Doppler ultrasound. In the documentation challenge, identify the proper codes to report for an osseous survey scan with bilateral hands and feet; three views, for a male patient with a history of arthritis and severe bilateral foot swelling for 2 weeks. The radiology test in this issue highlights the performance of a lung transplant workup via a sniff test while using video fluoroscopy, for a patient with chronic obstructive pulmonary disease (COPD). Dive deeper into these cases and challenge your coding skills with the Summer 2021 issue of Clinical Examples in Radiology.
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