Often when a radiology service is performed, there are two components involved: a technical component and a professional component. When only the technical or professional component is provided, the appropriate modifier needs to be appended to the CPT code to indicate to the payer how that portion of the service should be paid.
There are also ICD-10-CM coding guidelines that explain how to code for an unconfirmed diagnosis. You will need to understand these guidelines for the following coding exercise.
Answer the multiple-choice coding exercise below. Then log in to check your answer against the answer and rationale provided.
Question: A 16-year-old male presents to the ED with right elbow pain. The emergency physician ordered x-ray images of the right elbow from the anteroposterior and lateral positions. The radiologist provided only the interpretation and report indicating the results show no fracture, dislocation, or abnormality. Assign the CPT code for the professional component of the service, along with the appropriate ICD-10-CM code.
A. 73070-26-RT, M25.521
B. 73080-TC-LT, M25.52
C. 73070-26-RT, M25.321
D. 73080-TC-LT, M25.821
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