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12 Cards in this Set
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- Back
- 3rd side (hint)
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a radiation dose of equal intensity to more than one body area
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iso·dose
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in radiotherapy, treatment with ionizing radiation whose source is either implanted within the body, applied to the surface of the body, or located a short distance from the body area being treated
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Brachytherapy
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PROCEDURE: Calculation of an isodose for brachytherapy, single plane, two sources.
Coded as if you work for the radiologist |
Brachytherapy,
Dose Plan 77326-77328 PROCEDURE: Calculation of an isodose for brachytherapy, single plane, two sources. 77326-26 |
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PROCEDURE: Complex therapeutic radiology treatment planning
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Radiation Therapy
Planning 77261-77263, 77299 77263 Therapeutic radiology treatment planning; complex Coding Enrichment: CPT code 77263 represents a procedure which contains no technical component. This procedure is inherently professional in nature and therefore does not require the use of a -26 modifier. PROCEDURE: Complex therapeutic radiology treatment planning. 77263 |
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PROCEDURE: Design and construction of a bite block
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Radiation Therapy
Treatment Device 77332-77334 PROCEDURE: Design and construction of a bite block. 77333-26 |
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is an inflammation of the gallbladder, an organ which is responsible for concentrating the bile used in digestion. Individuals with experience pain in their upper right abdomens, and they can also develop symptoms such as nausea. Treatment for this condition varies, depending on the cause, but most classically the gallbladder is removed from the patient.
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Cholecystitis
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PROCEDURE: Biliary scan was performed which showed delayed emptying of the gallbladder. The patient was later diagnosed with chronic cholecystitis.
Coded as if you work for the facility |
Nuclear Medicine
Bile Duct Imaging 78223 Hepatobiliary ductal system imaging, including gallbladder, with or without pharmacologic intervention, with or without quantitative measurement of gallbladder function PROCEDURE: Biliary scan which showed delayed emptying of the gallbladder. The patient was later diagnosed with chronic cholecystitis. 78223-TC |
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PROCEDURE: Single photon emission computed tomography (SPECT) exam of the liver.
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SPECT
78607 Liver 78205 78205 Liver imaging (SPECT) TC Technical Component PROCEDURE: Single photon emission computed tomography (SPECT) exam of the liver. 78205-TC |
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DIAGNOSIS: Chronic cholecystitis
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575.11
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A patient with cancer of the lung metastatic to the neck and mediastinum underwent treatment today. The patient was treated to the lower right neck, mediastinum, and lung using an AP/PA technique with a 10 MeV beam using three treatment ports. This field was collimated to 18 x 23.5 cm using custom Cerrobend blocking to protect normal structures
Find the V-Code |
Therapy, Radiation, V58.0
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A patient with cancer of the lung metastatic to the neck and mediastinum underwent treatment today. The patient was treated to the lower right neck, mediastinum, and lung using an AP/PA technique with a 10 MeV beam using three treatment ports. This field was collimated to 18 x 23.5 cm using custom Cerrobend blocking to protect normal structures.
Secondary ICD-9-CM Code(s |
Answer:162.9, 198.89, 197.1
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Code all documented conditions that coexist at the time of the encounter/visit that require or affect patient care, treatment, and management. These conditions may be sequenced as secondary diagnoses. The order of presentation does not matter.
First, the patient was diagnosed with lung cancer. To locate this code, turn to the Neoplasm Table and locate the main term lung. Now locate the code in the primary column. The code listed is 162.9; malignant neoplasm of bronchus and lung. The patient was diagnosed with metastatic neck cancer. To locate this code, turn to the Neoplasm Table and locate the main term neck NEC. Now locate the code in the secondary column. The code listed is 198.89; secondary malignant neoplasm of other specified sites, other. The patient was also diagnosed with metastatic mediastinum cancer. To locate this code, turn to the Neoplasm Table and locate the main term mediastinum, mediastinal. Now locate the code in the secondary column. The code listed is 197.1; secondary malignant neoplasm of mediastinum |
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A patient with cancer of the lung metastatic to the neck and mediastinum underwent treatment today. The patient was treated to the lower right neck, mediastinum, and lung using an AP/PA technique with a 10 MeV beam using three treatment ports. This field was collimated to 18 x 23.5 cm using custom Cerrobend blocking to protect normal structures.
Primary CPT Code |
Correct Answer:77413
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To code for the treatment of the cancer turn to the “CPT Index®” to the main term, radiation therapy and the sub-terms, treatment delivery and # or more areas. This lists codes 77412-77416. Based on the documentation of 3 treatment areas and the use of custom blocking the correct code is 77413; Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6 to 10 MeV.
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