Question

RADLOGIST Marton MansnM EXAMINATION OF KBde areter bladder probien on ade situatic CASE 7-12G KUB Comparison is made with prinvicus study performed yestenta barum is again seen within portions of the descending arc s colon This is decreased compared with the previous study, howee beaharium still would create a signiticant artitact. I would eo hot C be sasrheduled for perhaps tomorow or Monday to e Lapa The next day the patient was returmed to the radiolngy dapartment for "harium in the bely "which refers to the previoust day's results thar indicated there was heavy banum residue in the colon This residue would prevent clanity on visunization Dr Jayco wants the panient to have a CT scan. Lapas inser illuss port the The this heavy barium is no longer present. The gastrointestinal at s is relatively nonspecific CONCLUSION: Residual heavy barium seen within portions transverse, descending, and sigmoid colon. It is decreased com with the previous study, and yet still a signiticant amount is gr which I believe would create significant artifact on the CT sca te is planned. I would recommend delaying it until this barin LOCATION npatient, Hospital PATIENT: Maynard Peters to v ATTENDING PHYSICIAN Gordon Jayco, MO RADIOLOGIST Morton Monson, MD EXAMINATION OF KUB (kidney uneter, bladder to has CLINICAL SYMPTOMS Barium in belly in patient with diarhea, vomiting in a patient with a history of kidneny and pancreas transplant cleared KUB This is performed pre-CT (computerized tomographyl to determine whether barium has cleared adequately to obtain a CT. This is 845 AM SERVICE CODEIS: ICO-10-CM OX CODEISI:

service codes and icd 10 cm codes?

Answer 1

Service code: 74018

Rationale: The radiological examination of KUB is done before the gastrointestinal examination of barium study. So the service code should be reported only after the barium study.

ICD-10-CM DX CODE: R94.4

Rationale: KUB is done as functional studies prior to the barium study to detect the abnormal findings in the lower abdomen. So it should be coded as R94.4