A patient is sent to the radiology department with an indication of abdominal pain. A KUB is ordered. The coder inputs data that is then transferred to line 21 of the CMS-1500 form, showing ICD-10-CM code R10.11, and line 24 field C showing CPT 74018. Which of the following has the coder demonstrated?

Question

Quizplus · Accepted Answer

The coder has demonstrated both medical necessity and linkage by using the ICD-10-CM code R10.11 (indicating right upper quadrant pain) to justify the medical necessity for the KUB X-ray (CPT code 74018), and linking the diagnosis code directly to the procedure code on the CMS-1500 form.

A Patient Is Sent to the Radiology Department with an Indication