CPC STUDY COURSE · 2026 EDITION
The radiologist provides the interpretation only
Read an original fictional chart, identify the supported facts, and explain your coding workflow.
Chart gym · Original fictional record
Service date: 2026-09-09 · Outpatient diagnostic or treatment service; stated component and Medicare relationship
Use your code books and write your reasoning before opening the walkthrough. This exercise contains no real patient information.
Imaging service
Fictional patient receives a diagnostic CT study in a hospital outpatient imaging department. The hospital supplies the scanner, technical personnel and resources used to produce the images. Assume the selected current entry permits professional and technical component reporting.
Professional work
A separate radiology practice receives the images, performs the interpretation and produces a signed written report. The interpreting radiologist does not supply the hospital’s technical resources. All other professional reporting requirements are assumed met for this component exercise.
Billing responsibility
The claim under review belongs to the independent radiology practice, not the hospital. The practice’s documented service is the interpretation and report. The case does not describe reassignment of the hospital’s technical service or another basis for global billing by that practice.
Choice to review
A draft selects the global service without a component modifier. Compare that with the professional-only pathway for the stated entry. Verify the PC/TC indicator, service location and actual responsibility rather than choosing a component from the code’s anatomical name.
Your coding worksheet
- Identify which entity produced the images.
- Identify who interpreted and reported them.
- Evaluate the global claim by the radiology practice.
- Select the component modifier under the stated assumptions.
In your notebook, record the supported facts, your index route, the instructions you checked, and any missing detail that limits your answer.
Compare with the worked explanation
- The hospital furnished the technical resources.
- The separate radiology practice furnished interpretation and a written report.
- The practice’s claim does not support including the hospital’s technical component.
- For the stated split-eligible entry, modifier26 identifies the professional component; verify the actual current indicator and setting.
Reference sections: radiology20.1–20.2; PC/TC indicators
Practice the linked chart questions
Review the lesson
Sources
- CMS — Medicare Claims Processing Manual, Chapter 13: Radiology and Other Diagnostic Procedures. 2026 service window; cited current manual sections. Accessed 2026-09-10.
- CMS — Medicare Claims Processing Manual, Chapter 23: Fee Schedule Administration and Coding Requirements. 2026 service window; cited current manual sections. Accessed 2026-09-10.