What category do the subcategory codes of the aortic, mitral, tricuspid, and pulmonary valves belong to? |
cardiac valves |
Ambulatory blood pressure monitoring is: |
d. a procedure that is done over a 24-hour period by means of a portable device worn by the patient |
A cardiologist is a(n)_______medicine physician who has chosen to specialize in the diagnosis and treatment of conditions of the heart. |
internal |
What is the professional component considered? |
is the interpretation of the results and the writing of a report about the results. |
What are the three sections of the CPT manual that you use to code many cardiovascular services? |
b. Surgery, Radiology, Medicine |
Within the cardiovascular system, what is compared to the branches of a tree? |
c. vascular families |
Arrhythmia ablation is a treatment for: |
a. bradycardia/tachycardia |
There are only two tumor removal codes. |
True |
Local anesthesia, catheter introduction, and injection of _______are procedures that are included in a vascular injection. |
contrast material |
What are the names of two devices that are inserted into the body to electricaly shock the heart into regular rhythm? |
pacemaker and implantable defibrillator |
The pulse generator of a pacemaker is also referred to as: |
c. the battery |
Which CPT Appendix would be a helpful resource for selective vascular coding? |
L |
Lack of blood is also known as |
reversible ischemia |
What does EP stand for? |
electrophysiology |
The number of postoperative days usually assigned for the global period following implantation of a pacemaker is: |
90 |
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? |
selective |
What is the term that describes the study of the electrical system of the heart and includes the study of arrhythmias? |
electrophysiology |
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 |
33750 |
A catheter that is inserted into an artery and manipulated to a further order is termed ________ placement |
selective |
____ is a procedure in which fluid is withdrawn from the space around the heart through a needle, and a catheter is left in to allow for continued drainage. |
pericardiocentesis |
When coding a change of battery in a pacemaker, both the removal and the re-implantation are coded. |
true |
What is the technical component considered? |
the equipment and technician who actually provides the service. |
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? |
no modifier needed |
Which of the following modifiers does NOT identify a coronary artery? |
-MC |
If the clinic physician performs the catheterization procedure at the hospital, which modifier would you append to the catheterization code? |
-26 |
According to the CPT manual notes for bypass grafts, which of the following procurements is bundled in the bypass? |
saphenous vein graft |
Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and |
percutaneously |
Bundled into the cardiac catheterization codes are the positioning and repositioning of the catheter(s). |
true |
____ cardiology is entering the body to make a correction or for examination. |
invasive |
Which item is NOT considered to be bundled in with a vascular injection? |
contrast media |
What does PTCA stand for? |
percutaneous transluminal coronary angioplasty |
What is the name of the electrodes that are placed into the atrium and/or ventricle of the heart when a pacemaker is inserted? |
leads |
The epicardial approach involves accessing a vein and inserting a needle with a wire into the vein. |
false |
If fluoroscopic guidance is used during the insertion of a pacemaker, it is bundled with the primary procedure and cannot be reported separately. |
true |
Indicator dilution studies when done with a cardiac catheterization are to be billed separately. |
false |
If catheterization is performed on the coronary arteries, in which section would you find the codes? |
medicine |
What is the term used for a tumor that is removed from inside the heart? |
irreversible |
What type of cardiology enters the body-breaks the skin- to make a correction or for examination? |
interventional |
A(n) ____ is a mass of undissolved matter that is present in blood and is transported by the blood. |
embolus |
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. |
33020 |
What does the abbreviation EP mean as it relates to cardiovascular services? |
electrophysiology |
The procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted percutaneously into the space is called: |
pericardiocentesis |
What is the term used for a tumor removed from outside the heart? |
external |
A catheter that is inserted into an artery and not manipulated to a further order is termed _______placement |
nonselective |
The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is |
cardiology |
What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions? |
nuclear |
What is the acronym commonly used for coronary artery bypass graft? |
CABG |
Supervision and interpretation codes for angiography are located where in the CPT manual? |
Radiology section |
Catheter placement is ______ or_______. |
nonselective or selective |
What does PAD stand for? |
Peripheral Arterial Disease |
What does SAECG stand for? |
signal-averaged electrocardiography |
This term means entering the body: |
invasive |
What are the division of codes based on in the Therapeutic Services and Procedures Subheading? |
method, location, and number |
What arteries feed the heart? |
coronary |
The major division of the Cardiovascular subsection is by how a procedure involved a ____ vessel. |
coronary or noncoronary |
Modifier -51 can be added to all codes in the Cardiac Catheterization subheading. |
false |
Physician who specializes in _______ cardiology uses radioactive radiologic procedures to aid in the diagnosis of cardiologic conditions. |
nuclear |
Pacemaker insertion codes are divided based on the surgical: |
approach |
What are the two approaches that are used when inserting a pacemaker? |
epicardial approach and transvenous approach |
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. |
33425 |
PTCA is an acronym for Percutaneous Transluminal Coronary Angioplasty. |
true |
To correctly report coronary bypass grafts, you must know the anatomical site from which the vessel being grafted came. |
true |
A Holter monitor is similar to an electrocardiogram in that: |
leads are attached to the patient |
An example of a noninvasive cardiology procedure/service is: |
cardiovascular stress test |
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. |
reversible |
is the regulatioin of the heart rate. |
pacing |
Cardiovascular stress test codes are used for: |
both a and b |
The device that can be inserted into the body to electrically shock the heart into regular rhythm. |
implantable defibrillator |
Forcing of fluid into a vessel or cavity |
Injection |
Blood bypasses the heart through a heart-lung machine during open heart surgery |
Cardiopulmonary bypass |
Vessel that carries deoxygenated blood to the heart from the body tissues |
Vein |
Blood clot |
Thrombosis |
Abnormal opening from one area to another within the body or to outside of the body |
Fistula |
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 |
Embolism |
Direct communication (passage) between an artery and vein |
Arteriovenous fistula |
Tube placed into the body to put fluid in or take fluid out |
Catheter |
Surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment of atherosclerotic disease |
Angioplasty |
A sac of clotted blood or fluid formed in the circulatory system (e.g., veinor artery) |
Aneurysm |
Incision into an artery to remove the inner lining to remove disease or blockage |
Endarterectomy |
Divert or make an artificial passage |
Shunt |
Deficient blood supply caused by obstruction of the circulatory system |
Ischemia |
Abnormality |
Anomaly |
cpt ch 17
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