RCC Contrast Media, Supplies & HCPCS Level II Coding 2

Question 1

Which CPT code represents a CT of the abdomen and pelvis performed WITH intravenous contrast material?

Accepted Answer

74177

Answer

74176

Answer

74178

Answer

74182

Question 2

Which modifier does an interpreting radiologist append to a CPT code when billing only for the professional component (interpretation and report)?

Accepted Answer

Modifier 26 (Professional Component)

Answer

Modifier TC (Technical Component)

Answer

Modifier 59 (Distinct Procedural Service)

Answer

Modifier 52 (Reduced Services)

Question 3

In the context of radiology contrast safety, 'premedication' most specifically refers to:

Accepted Answer

Corticosteroids or antihistamines given to patients at risk for contrast reactions

Answer

Antibiotics given before interventional procedures to prevent infection

Answer

Sedation administered before MRI for claustrophobic patients

Answer

IV fluids given to hydrate patients before contrast-enhanced CT

Question 4

Which of the following is NOT a gadolinium-based contrast agent (GBCA) used in MRI?

Accepted Answer

Iohexol (Omnipaque)

Answer

Gadobutrol (Gadavist)

Answer

Gadopentetate dimeglumine (Magnevist)

Answer

Gadobenate dimeglumine (MultiHance)

Question 5

Oral contrast media administered to a patient undergoing a CT of the abdomen is typically handled how under Medicare billing?

Accepted Answer

Generally bundled into the CT procedure and not separately billable to Medicare

Answer

Reported separately using HCPCS Q-codes for contrast volume used

Answer

Billed using J-codes as an oral drug administration

Answer

Reported using a separate CPT code for ingestion supervision

Question 6

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?

Accepted Answer

The technical component (Modifier TC) or facility claim

Answer

The professional component (Modifier 26) claim filed by the radiologist

Answer

Both the professional and technical component claims simultaneously

Answer

A separate claim filed under the patient's pharmacy benefit only

Question 7

An anaphylactoid reaction to iodinated contrast media is best characterized by which set of clinical findings occurring within minutes of administration?

Accepted Answer

Urticaria, bronchospasm, and hypotension requiring immediate treatment

Answer

Delayed urticaria appearing 1-3 days after administration

Answer

Contrast-induced nephropathy with rising creatinine over 48 hours

Answer

Mild nausea and warmth sensation that resolves spontaneously