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

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.

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 26 (Professional Component) is appended when the physician bills only for interpretation and report, separate from the facility's technical component.

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

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.

Question 4

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

Accepted Answer

Iohexol (Omnipaque)

Answer

Iohexol (Omnipaque) is a non-ionic iodinated contrast agent used primarily for CT and myelography; the other three are gadolinium-based MRI contrast agents.

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

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.

RCC - Radiology Certified Coder Practice Test

RCC - Radiology Certified Coder Practice Test

RCC Contrast Media, Supplies & HCPCS Level II Coding 2