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 ICD-10-CM code R10.11 (indicating right upper quadrant pain, which is a specific type of abdominal pain) and CPT code 74018 (indicating a single view abdominal x-ray, which is appropriate for investigating abdominal pain). This shows that the procedure (CPT code) is medically necessary for the diagnosis (ICD-10-CM code) and they are correctly linked on the CMS-1500 form.

A Patient Is Sent to the Radiology Department with an Indication