2022 - Ultrasound

Question 1

Urologist-performed US is for _____ indications, not for _____.

Answer 1

(focused clinical, screening)

Question 2

Decision for US examination must consider _____ and _____.

Answer 2

(medical necessity, scope consistent with clinical indications)

Question 3

Renal US is recommended for _____ in certain patients.

Answer 3

(upper tract imaging with low- and intermediate-risk asymptomatic microscopic hematuria)

Question 4

TAPU is used for _____.

Answer 4

(accurate evaluation of prostatic volume and morphology)

Question 5

A TRUS probe requires _____.

Answer 5

(high-level disinfection)

Question 6

What are the requirements for MD or DO who completed their urology residency within the past 3 years?

Answer 6

No additional documentation requirements.

Question 7

For those who completed their residency greater than 3 years ago, what specific requirements must they meet?

Answer 7

They must have performed 100 diagnostic urological US examinations within the last 36 months and have 10 specific credits related to urological US.

Question 8

What are the requirements for providers not covered by the above categories?

Answer 8

They must have 20 specific credit hours related to diagnostic urological US and document involvement in at least 100 diagnostic urological US examinations within the previous 36 months.

Question 9

Code 76770 refers to a _____ evaluation of the retroperitoneum.

Answer 9

complete

Question 10

Code 76775 is for a _____ evaluation of the retroperitoneum

Answer 10

(limited)

Question 11

Code 76856 is for a _____ pelvic evaluation, including measurements.

Answer 11

(complete)

Question 12

Code 76857 is for a _____ pelvic evaluation.

Answer 12

(limited)

Question 13

Code 76870 includes the use of _____ US

Answer 13

Doppler

Question 14

Code 76872 refers to the evaluation of the _____ and surrounding structures.

Answer 14

prostate

Question 15

Code 51798 is for the measurement of _____.

Answer 15

(residual urine in the bladder)

Question 16

What constitutes low risk in the AUA microhematuria risk stratification system?

Answer 16

Age (Women <50, Men <40), Smoking history (<10 pack-years), Microhematuria (3-10 RBC/HPF), No risk factors for urothelial Ca.

Question 17

What is the recommended upper tract imaging for intermediate risk?

Answer 17

Renal US.

Question 18

What criteria define high risk in terms of age and smoking history?

Answer 18

Age ≥60 yrs and Smoking history >30 pack-years.

Question 19

Low risk age group for microhematuria: Women <___ yrs, Men <___ yrs.

Answer 19

(50, 40)

Question 20

Low risk smoking history for microhematuria: Never or <___ pack-years.

Answer 20

(10)

Question 21

Low risk RBC/HPF count in urinalysis for microhematuria: - RBC/HPF.

Answer 21

(3, 10)

Question 22

Low risk recommended upper tract imaging for microhematuria: ___ US.

Answer 22

(Renal)

Question 23

Intermediate risk age group for microhematuria: Women - yrs, Men - yrs.

Answer 23

(50, 59, 40, 59)

Question 24

Intermediate risk smoking history for microhematuria: - pack-years

Answer 24

(10, 30)

Question 25

Intermediate risk RBC/HPF count in urinalysis for microhematuria: - RBC/HPF.

Answer 25

(11, 25)

Question 26

Intermediate risk recommended upper tract imaging for microhematuria: ___ US.

Answer 26

(Renal)

Question 27

High risk age group for microhematuria: Women or men ≥___ yrs.

Answer 27

(60)

Question 28

High risk smoking history for microhematuria: >___ pack-years.

Answer 28

(30)

Question 29

High risk RBC/HPF count in urinalysis for microhematuria: >___ RBC/HPF.

Answer 29

(25)

Question 30

High risk recommended upper tract imaging for microhematuria: Multiphasic ___ urography, ___ urogram, Retrograde pyelography.

Answer 30

(CT, MR)

Question 31

US is useful after stone treatment to evaluate ___, ___, and ___.

Answer 31

(residual fragments, hydronephrosis, complications)

Question 32

The AUA recommends follow-up US of the kidney within ___ weeks of ureteroscopic extraction to exclude silent obstruction.

Answer 32

(6)

Question 33

TAPU provides noninvasive access to deep pelvic structures but is not a substitute for ___.

Answer 33

cystoscopy or urodynamic testing)

Question 34

Bladder volume and residual urine can be calculated using the formula: Bladder volume (cc) = ___.

Answer 34

(length × width × height × 0.625)

Question 35

Post-void bladder volume measurements by US are billed as ___.

Answer 35

(CPT 51798)

Question 36

Prostate volume can be calculated using the formula: Prostate volume (cc) = ___.

Answer 36

(length × width × height × 0.523)

Question 37

: TAPU may be used to assess and monitor the response to therapy for ___.

Answer 37

(benign prostatic hyperplasia)

Question 38

TAPU for the specific indication of measuring prostate
volume, evaluating prostate morphology, or for calculating
PSA density should be coded as a limited pelvic US
(CPT 76857).

Answer 38

(CPT 76857)

Question 39

TRUS of the prostate for measurement of volume or assessment of seminal vesicles should be coded as ___.

Answer 39

(CPT 76872)

Question 40

Additional codes for TRUS include US for needle guidance (), prostate biopsy (), and fiducial marker placement (___).

Answer 40

(CPT 76942, CPT 55700, CPT 55876)

Question 41

Biodegradable periprostatic spacing material prior to radiation therapy includes US guidance and is coded as ___.

Answer 41

(CPT 55874)