CPT Ch 17

25 July 2022
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question
What category do the subcategory codes of the aortic, mitral, tricuspid, and pulmonary valves belong to?
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cardiac valves
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Ambulatory blood pressure monitoring is:
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d. a procedure that is done over a 24-hour period by means of a portable device worn by the patient
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A cardiologist is a(n)_______medicine physician who has chosen to specialize in the diagnosis and treatment of conditions of the heart.
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internal
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What is the professional component considered?
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is the interpretation of the results and the writing of a report about the results.
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What are the three sections of the CPT manual that you use to code many cardiovascular services?
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b. Surgery, Radiology, Medicine
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Within the cardiovascular system, what is compared to the branches of a tree?
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c. vascular families
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Arrhythmia ablation is a treatment for:
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a. bradycardia/tachycardia
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There are only two tumor removal codes.
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True
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Local anesthesia, catheter introduction, and injection of _______are procedures that are included in a vascular injection.
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contrast material
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What are the names of two devices that are inserted into the body to electricaly shock the heart into regular rhythm?
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pacemaker and implantable defibrillator
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The pulse generator of a pacemaker is also referred to as:
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c. the battery
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Which CPT Appendix would be a helpful resource for selective vascular coding?
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L
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Lack of blood is also known as
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reversible ischemia
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What does EP stand for?
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electrophysiology
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The number of postoperative days usually assigned for the global period following implantation of a pacemaker is:
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90
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In which type of catheter placement is the catheter moved, manipulated, or guided into a part of the arterial system other than the vessel punctured?
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selective
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What is the term that describes the study of the electrical system of the heart and includes the study of arrhythmias?
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electrophysiology
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Code the following cases for the surgical procedures, the office visits, and the cardiology-related Radiology and Medicine section codes. Do not code laboratory work. Shunting from subclavian to pulmonary artery using the Blalock-Taussig operation for Fallot's tetralogy
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33750
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A catheter that is inserted into an artery and manipulated to a further order is termed ________ placement
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selective
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____ is a procedure in which fluid is withdrawn from the space around the heart through a needle, and a catheter is left in to allow for continued drainage.
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pericardiocentesis
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When coding a change of battery in a pacemaker, both the removal and the re-implantation are coded.
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true
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What is the technical component considered?
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the equipment and technician who actually provides the service.
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If a clinic owns its own x-ray equipment, what modifier would be used when coding for the supervision and interpretation of a cardiac catheterization?
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no modifier needed
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Which of the following modifiers does NOT identify a coronary artery?
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-MC
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If the clinic physician performs the catheterization procedure at the hospital, which modifier would you append to the catheterization code?
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-26
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According to the CPT manual notes for bypass grafts, which of the following procurements is bundled in the bypass?
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saphenous vein graft
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Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and
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percutaneously
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Bundled into the cardiac catheterization codes are the positioning and repositioning of the catheter(s).
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true
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____ cardiology is entering the body to make a correction or for examination.
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invasive
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Which item is NOT considered to be bundled in with a vascular injection?
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contrast media
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What does PTCA stand for?
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percutaneous transluminal coronary angioplasty
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What is the name of the electrodes that are placed into the atrium and/or ventricle of the heart when a pacemaker is inserted?
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leads
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The epicardial approach involves accessing a vein and inserting a needle with a wire into the vein.
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false
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If fluoroscopic guidance is used during the insertion of a pacemaker, it is bundled with the primary procedure and cannot be reported separately.
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true
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Indicator dilution studies when done with a cardiac catheterization are to be billed separately.
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false
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If catheterization is performed on the coronary arteries, in which section would you find the codes?
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medicine
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What is the term used for a tumor that is removed from inside the heart?
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irreversible
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What type of cardiology enters the body-breaks the skin- to make a correction or for examination?
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interventional
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A(n) ____ is a mass of undissolved matter that is present in blood and is transported by the blood.
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embolus
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Code the following cases for the surgical procedures, the office visits, and the cardiology-related Radiology and Medicine section codes. Do not code laboratory work. Pericardiotomy for removal of clot
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33020
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What does the abbreviation EP mean as it relates to cardiovascular services?
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electrophysiology
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The procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted percutaneously into the space is called:
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pericardiocentesis
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What is the term used for a tumor removed from outside the heart?
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external
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A catheter that is inserted into an artery and not manipulated to a further order is termed _______placement
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nonselective
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The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is
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cardiology
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What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions?
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nuclear
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What is the acronym commonly used for coronary artery bypass graft?
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CABG
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Supervision and interpretation codes for angiography are located where in the CPT manual?
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Radiology section
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Catheter placement is ______ or_______.
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nonselective or selective
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What does PAD stand for?
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Peripheral Arterial Disease
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What does SAECG stand for?
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signal-averaged electrocardiography
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This term means entering the body:
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invasive
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What are the division of codes based on in the Therapeutic Services and Procedures Subheading?
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method, location, and number
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What arteries feed the heart?
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coronary
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The major division of the Cardiovascular subsection is by how a procedure involved a ____ vessel.
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coronary or noncoronary
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Modifier -51 can be added to all codes in the Cardiac Catheterization subheading.
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false
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Physician who specializes in _______ cardiology uses radioactive radiologic procedures to aid in the diagnosis of cardiologic conditions.
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nuclear
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Pacemaker insertion codes are divided based on the surgical:
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approach
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What are the two approaches that are used when inserting a pacemaker?
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epicardial approach and transvenous approach
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Code the following cases for the surgical procedures, the office visits, and the cardiology-related Radiology and Medicine section codes. Do not code laboratory work. Open-heart repair of mitral valve with use of cardiopulmonary bypass.
answer
33425
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PTCA is an acronym for Percutaneous Transluminal Coronary Angioplasty.
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true
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To correctly report coronary bypass grafts, you must know the anatomical site from which the vessel being grafted came.
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true
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A Holter monitor is similar to an electrocardiogram in that:
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leads are attached to the patient
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An example of a noninvasive cardiology procedure/service is:
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cardiovascular stress test
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When a heart artery is clogged and the heart muscle performs at a low level as a result of a lack of blood, the condition is called _____ ischemia.
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reversible
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is the regulatioin of the heart rate.
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pacing
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Cardiovascular stress test codes are used for:
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both a and b
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The device that can be inserted into the body to electrically shock the heart into regular rhythm.
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implantable defibrillator
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Forcing of fluid into a vessel or cavity
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Injection
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Blood bypasses the heart through a heart-lung machine during open heart surgery
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Cardiopulmonary bypass
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Vessel that carries deoxygenated blood to the heart from the body tissues
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Vein
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Blood clot
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Thrombosis
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Abnormal opening from one area to another within the body or to outside of the body
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Fistula
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Blockage of a blood vessel by a blood clot or other matter that has moved from another area of the body through the circulatory system
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Embolism
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Direct communication (passage) between an artery and vein
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Arteriovenous fistula
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Tube placed into the body to put fluid in or take fluid out
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Catheter
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Surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment of atherosclerotic disease
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Angioplasty
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A sac of clotted blood or fluid formed in the circulatory system (e.g., veinor artery)
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Aneurysm
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Incision into an artery to remove the inner lining to remove disease or blockage
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Endarterectomy
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Divert or make an artificial passage
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Shunt
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Deficient blood supply caused by obstruction of the circulatory system
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Ischemia
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Abnormality
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Anomaly