Contrast Media, Supplies & HCPCS Level II Coding Flashcards
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Which CPT code represents a CT of the abdomen and pelvis performed WITH intravenous contrast material?
Answer: 74177
CPT 74177 describes a CT of the abdomen and pelvis with contrast; 74176 is without contrast, 74178 is without followed by with contrast, and 74182 is MRI abdomen with contrast.
Which modifier does an interpreting radiologist append to a CPT code when billing only for the professional component (interpretation and report)?
Answer: Modifier 26 (Professional Component)
Modifier 26 (Professional Component) is appended when the physician bills only for interpretation and report, separate from the facility's technical component.
In the context of radiology contrast safety, 'premedication' most specifically refers to:
Answer: Corticosteroids or antihistamines given to patients at risk for contrast reactions
Premedication in radiology refers to corticosteroids (e.g., prednisone) and/or antihistamines administered to patients with prior contrast reactions or allergies to reduce the risk of repeat adverse events.
Which of the following is NOT a gadolinium-based contrast agent (GBCA) used in MRI?
Answer: Iohexol (Omnipaque)
Iohexol (Omnipaque) is a non-ionic iodinated contrast agent used primarily for CT and myelography; the other three are gadolinium-based MRI contrast agents.
Oral contrast media administered to a patient undergoing a CT of the abdomen is typically handled how under Medicare billing?
Answer: Generally bundled into the CT procedure and not separately billable to Medicare
Oral contrast media for CT studies is considered packaged by Medicare and most payers and is not separately billable, unlike intravenous contrast agents which have specific HCPCS codes.
Which component of the radiology bill should carry the HCPCS contrast media code when a facility and a physician both bill separately for the same imaging study?
Answer: The technical component (Modifier TC) or facility claim
Contrast media is a supply consumed by the facility; therefore, the HCPCS contrast code is reported on the technical component or facility claim, not the physician's professional component claim.
An anaphylactoid reaction to iodinated contrast media is best characterized by which set of clinical findings occurring within minutes of administration?
Answer: Urticaria, bronchospasm, and hypotension requiring immediate treatment
An anaphylactoid (immediate hypersensitivity-type) contrast reaction presents with urticaria, bronchospasm, and hypotension within minutes and requires immediate treatment with epinephrine.