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broad term used to indicate any number of methods used by radiiologists to do diagnostic testing
magnetic resonance imaging (MRI)
radiology technique that uses magnetism, radio waves and a computer to produce images of body structures
process of producing a tomogram, a two-dimensional image of a slice or section, through a three-dimensional object
terminology referring to planes of the body and the positioning of the body used in radiology
anteposterior (AP) position
(front to back)patient has front closes to the x-ray machine, and the x-ray travels through the patient from the front to the back
posteroanterior (PA) position
the patient has his back located closes to the machine and the beam travels through the patient from back to front
side positions; when right side is closest to the film, it is called right lateral; when left side is closest to the film, it is called left lateral
those obtained while the body is rotated so it is not in a full anteroposterior or posteroanterior position, but somewhat diagonal
left posterior oblique (LPO)
patient is rotated so that the left posterior aspect of his body is against the table
allows the beam to skim the body part, which produces a profile of the structure of the body
describes the services of the physician, including the taking and interpretration w/report of x-rays
describes the services of the technologist, as well as the use of the equipment, film and other supplies
component, or combination coding
a code from the radiology section as well as a code from one of the other sections must be reported to fully describe the procedure
injection of a contrast material
CPT code from surgery section must be used to indicate the injection and HCPCS Level II code is reported for the contrast substance, such as A4641
if descriptions state "radiologic supervision and interpretation" alert you to
-26 or -TC may be appropriate
dyes injected into the vessels to add contrast that facilitates the visualization of vessels' lumen size and condition
the use of diagnostic radiology to detect breast tumors or other abnormal breast conditions
use of high frequency sound waves to image anatomic structures and to detect the cause of ilness and disease
a physician who is skilled in both the surgical procedure and the radiology portion of an interventional radiologic service; board certified
one-dimensional display reflecting the time it takes the sound wave to reach a structure and reflect back
two-dimensional display of the movement of tissues and organs. "B" stand for brightness. Sound waves bounce off tissue or organs and are projected onto a black and white television screen.
Real-time scan ultrasound
two-dimensional display of both the structure and the motion of tissues and organs that in dicates the size, shape, and movementof the tissue or organ
use of sound that can be transmitted only through solids or liquids and is a specific version of ultrasonography, or ultrasound.
Simple clinical treatment planning
requires that there be a single treatment area that is encompassed by a single port or by simple parallel opposed ports with simple or no blocking
intermediate clinical treatment planning
requires that there be three or more converging ports, two separate treatment areas, multiple blocks or special time/dose constraints
complex clinical treatment planning
requires that there be highly complex blocking, custom shielding blocks, tangential ports, special wedges or compensators, three or more separate treatment areas, rotational or special beam consideration or a combination of therapeutic modalities
single treatment area, with either a single port or parallel opposed ports and simple or no blocking
three or more converging ports, with tw2o separate treatment areas and multiple blocks
three or more treatment areas, rotation or arc therapy, complex blocking, custom shielding blocks, brachytherapy source verification, and any use of contrast material
(3D) computer-generated reconstruction of tumor volume and surrounding critical normal tissue structures based on direct CT scan and/or MRI data in preparation for non-coplanar or coplanar therapy.
Simulation required billing
If any change is made in the field of treatment, a new simulation billing is required
location of clinical treatment planning
in the index of the CPT manual under the main term "Radiation Therapy" or "Field Set-up"
the energy deposited in the patient's tissue is measured in
Gray (one gray=100rads; 1 centigray [Gy]=1 rad)
To report ridiation treatment delivery services, you need to know the amount of radiation delivered and
Areas treated (single, two, three or more
Ports involved (single, three or more, tangential)
Blocks used (none, multiple, custom)
radiation treatment management codes report the_________________of radiation treatment management.
bundled into the radiation treatment management codes are:
Review of port films
Review of dosimety, dose delivery and treatment parameters
Review of patient treatment setup
Examination of patient for medical evaluaton and management
proton beam treatment delivery
proton beam utilizes particles that are positively charges with electricity.
is an increase in body temperature and is used as an adjunct to radiation therapy or chemotherapy for the treatment of cancer
within the tissues; the insertion of a probe that delivers heat directly to the treament area
source ; clinical Brachytherapy code
source; container holding a radioactive element that can be inserted directly into the body where it delivers the radiation dose over time,
ribbon; clinical brachytherapy code
seeds embedded on a tape; the ribbon is cut to the desired length to control the amount of radiation the patient receives
placement of radionuclides within the body and the monitoring of emissions from the radioactive elements
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