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Bill 17
| Question | Answer | |
|---|---|---|
| What are the two subheadings within the Cardiovascular system subsection? Heart and ______ and _____________ | Heart/Pericardium and Arteries/Veins These subheadings organize procedures for structures like the pericardium, cardiac valves, and coronary artteries often include or are divided by functional anatomic or procedural approaches | |
| The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is ______________ | Cardiology | |
| In Chapter 17 you learned about coding from which three sections of the CPT select all that apply a Radiology, b path and lab, c surgery, d Medicine, e anesthesiology f, E & M | Surgery Section, Medicine Section, Radiology Section | |
| Procedures that break the skin for correction or examnation are known as _______ procedures. | Invasive | |
| Procedures that do not break the skin are known as ______ Procedures | noninvasive not breaking the skin are usually performed for diagnostic procedures Usually, performing these procedures doew not required entering the body rather diagnostic tests that can be performed outside- the body like echocardiography-medicine sect | |
| The study of the heart's electrical system is known as ________ | Electrophysiology (EP) | |
| The use of radioactive radiologic procedures to aid in the dianosis of cardiologic conditions is termed _______ ______two words cardiology. | Nuclear Cardiology | |
| A catheter that is inserted into an artery and manipulated to a further order is termed _____ placement. | Non-selective placement. This type of catheterization involves placing the needle or catheter directly into a vessel (or into the aorta) without advancing it into smaller, more distant branches of the vascular system. | |
| A catheter that is inserted into an artery and not manipulated to a further order is termed _____ placement | nonselective placement | |
| Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and ________ | minimally invasive techniques like thracoscopy, percutaneous approaches. These approaches allow for varied access to the pericardium and heart chambers. | |
| The Section of the CPT manual contains codes for nonsurgical cardiovascular services | The Medicine Section (92920-93799) specifically the cardiovascular subsection this contains codes for non-surgical, diagnostic, and therapeutic cardiovascular services, including cardiac catheteriation, echocardiography, and stress tests. Noninvasive | |
| This procedure describes a percutaneous approach in which the physician inserts a catheter into a coronary vessel to destroy a blood clot by a drug. ________________________ | catheter-directed thrombolysis, min invasive technique where a catheter is inserted through the skin percut and guided into a vessel to deliver clot-dissolving medicine directly to a blockage. it quickly restores blood flow often for deep vein thrombosis | |
| Invasive cardiology procedures are also called _____________ procedures. | Interventional procedures this specialty uses min invasive techniques such as ballon angioplasty or stent placement, to treat structural or electrical heart abnoralities often avoiding open heart surgery | |
| The Medicine section of the CPT manual contains the Cardiovascular subsection, these services are invasive/noninvasive or ______________/______________________ | Diagnostic/Therapeutic diagnose a condition or treat a condition | |
| _________ is the term used when a radiologist is overseeing a technician who is performing a procedure. | Supervision: Direct Supervision-Radiologist is present in the office ste or room and immediately available to provide direction Gen Supervision the procedure is furnished under the Radiologist's overall direction and control, but the radiologis is not req | |
| Cardiac ____________ may include the use of injectable dyes to show the body in a cross-sectional view. | Imaging MRI or CT | |
| The study of the electrical system of the heart, including the study of arrhythmias ______________________ | ElectroPhysiology EP | |
| Radiographic recording of the heart or heart walls, or surrounding tissues __________________________ | ||
| Diagnostic specialty that uses radiopharmaceuticals to aid in the diagnosis of cardiologic conditions ______________________ | ||
| Diagnostic specialty that uses radiopharmaceuticals to aid in the diagnosis of cardiologic condittions | ||
| Membranous sac enclosing the heart and the ends of the great vessels. ____________________ | ||
| Performed by insertinga a catheter percutaneously ____________________ | ||
| Invasive: | is entering the body-breaking the skin= to make a correction or for examination. | |
| interventional procedures also called invasive cardiology procedeures | some codes are located in the surgery section for the surgical technique, and others are located in the Medicine section and the Radiology section for Rad supervision & guidance both codes r reported for the 1 procedure. | |
| Surgery Section: Cardiovascular System (33016-37799) Heart & Pericardium Endoscopy, Artieries and Veins Adjuvant Techniques | Cardiovascular System (33016-37799) Heart & Pericardium Endoscopy, Artieries and Veins Adjuvant Techniques | |
| Medicine Section: Cardiovascular System (92920-93799), Therapeutic Services & Procedures , Cardiography, Cardiovascular Monitoring Services | Implantable, insertable, & wearable Cardiac Device, Echocardiography, Cardicac catheterization, intra cardia electrophysiological procedures, Peripheral Arterial Disease Rehab, Noninvasive physiologic Studies &Procdeures, other procedures | |
| Radiology Section Diagnostic RAdiology (75557-75774) Heart, Vascular Procedures, Aorta & Arteries, Dx ultrasound various, ultrasonic guidance procedures, Rad Guidance 77001-77022), Nuclear Medicine, 78414-78499, | Cardiovascular system | |
| Noninvasive services & procedures: | not breaking the skin-are usually performed for diagnostic purposes usually does not require entering the body rather dx tests that can be performed outside the body ie echocardiography cardiography both in medicine section | |
| Eletrophysiology-EP: | Is the study of the electrical system of the heart and includes the study of arrhythmias. Dx procedures include recordings from inside the heart by placing wire electrodes into the heart percutaneously and by means of an electrogram. | |
| Electrophysiology codes for invasive, diagnostic, and therapeutic procedures are located in | the Medicine Section 93600-93662 | |
| Electrophysiology more invasive treatments can be performed such as | the placement of a pacemaker, implantable defibrillator, or other devices to regualte rhythm . These invasive txs are surgical procedures and located in the surgery cardiology subsection. | |
| Electrophysiology pacemaker or implatable defibrillator 33202-33273 are in the | Surgery Section invasive procedures | |
| Electrophysiology There are also surgery codes for operative procedures to correct electrophysiologyic problems of the heart when the elctrical problems are corrected by | incision, excision, or ablation see surgery section | |
| Wolff-Parkinson-white syndrome is | in which there is a short circuit between the atria and venricles. This is a congenital defect results in rapid heartbeats due to a muscle fiber that remains after the heart develebed interferes with normal conduction surgeon ablates the fiber | |
| Nuclear Cardiology is | a diagnostic specialty that plays a very import role in modern cardiology physician uses radioactive radiologic procedures to aid in the dx of cardiologic conditions HCPCS level II codes are often reported | |
| Nuclear Cardiology HCPCS codes A codes | report radiopharmaceuticals | |
| Nuclear Cardiology HCPCS II codes G codes report | the procedures and procedures combined with the supplieds, radiopharmaceuticas and drugs | |
| Nuclear Cardiology HCPCS II codes J codes report | the drugs | |
| Nuclear Cardiology HCPCS II codes Q report | contrast agents | |
| Pericardiocentesis 33016 is | a procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted percutaneously into the space Ultrasound guidance is included in 33016 but only when performed | |
| cardiac tumor a procedure performed to | remove a tumor of the pericardium is reported using a code from the pericardium category 33020-33050, but if a tumor is removed from heart select from Cardiac Tumor code 33120, 33130 | |
| Transmyocardial Revascularization is 33140 or at the time of another open cardiac procedure add on code 33141 | describes a procedure in which areas of acrdiac ischemia reversible muscle damage are exposed to a laser beam to crate holes in the surface of the heart. Encourages capillary growth revitalizing damaged area by increasing blood flow in the area. | |
| Pacemaker or Implantable Defibrillator 33202-33273 | are devices inserted into the body to electrically shock the heart into regular rhythm. Pacemaker a pocket is made, and agenerator and lead/s are placed inside the chest | |
| Pacemaker-sometimes only components of teh pacemaker are reinserted, repaired, or replaced. You need to know 3 things bout the service provided to correctly code: | 1-where the electrode lead is placed-atrium, ventricle, or both. 2 whether the procedure involves intital placement, replacement, upgrade or repair of all components or separate components of the pacemaker. 3 the approach used to place the pacemaker | |
| Pacemaker Approach used to place the pacemaker- | was it epicardial or transvenous | |
| A single pacemaker has- | one lead atrium or ventricle | |
| A dual pacemaker has- | two leads one lead in the right atrium and on e in the right ventricle | |
| biventricular pacemaker has- | three leads on e in the right atrium, one in the right ventricl, and one on the left ventricle via the coronary sinus vein | |
| Pericardium | membranous sac enclosing the heart and the ends of the great vessels. | |
| Cardiopulmonary | refers to the heart and lungs | |
| Bypass | to go around | |
| Pacemaker | electrical device that controls the beating of the heart by electrical impulses | |
| Single-chamber device pacemaker | the electrode of the pacemaker is placed only in the atrium or only in the ventricle, but not placed in both | |
| Dual-Chamber device pacemaker | electrodes of the pacemaker are placed in both the atria and the ventricle of the heart | |
| Electrode | lead attached to a generator that carries the electric current from the generator to the atria or ventricles. | |
| Ventricle | chamber in the lower part of the heart. | |
| Atrium | chamber in the upper part of the heart | |
| Implantable defibrillator | surgically placed device that directs an electric current shock to the heart to restore rhythm. | |
| Artery | vessel that generally carries oxyjgenated blood from the heart to body tissues (pulmonary artery carries unoxygenatated blood.) | |
| Vein | vessel that carries unoxygenated blood to the heart from body tissues: pulmonary veins carry oxygenated blood back to the heart. | |
| Aneurysm | an abnormal weakening of a vessel wall with outpouching beyond the normal confines of the vessel | |
| Embolism | 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. | |
| Thrombosis | blood clot | |
| Endarterectomy | incision into an artery to remove the inner lining so as to eliminate disease or blockage | |
| Angioplasty | surgical or percutaneous procedure in a vessel to dilate the vessel opening; used in the treatment of atheroslerotic disease. | |
| Injection | introduction of fluid into a tissue, vessel, or cavity | |
| Catheter | tube placed into the body to put fluid in or take fluid out | |
| Arteriovenous fistula | direct communication (passage) between an artery and vein. | |
| Anomaly | abnormality | |
| Ischemia | deficient blood supply due to obstruction of the circulatory system. | |
| Cardiopulmonary bypass | blood bypasses the heart through a heart lung machine during open heart surgery | |
| Fistula | abnormal opening from one area to another area or to the outside of the body | |
| Shunt | divert or make an artificial passage. | |
| The term that describes the procedure in shich the surgeon withdraws fluid from the pericardial space by means of a needle inserted into the space is | ||
| Codes for excision of cardiac tumors are divided based on whether the tumor is located ______ or ______ | ||
| What are the names of two devices that are inserted into the body to electrically shock the heart into regular rthythm _______ and _________? | ||
| The two approaches used to insert devices that electrically shock the heart into regular rhythm are ______ and _______ | ||
| If the patient is returned to the operating room for repositioning or replacement of the pacemaker or implantable defibrilator during the global period, modifier ____ would be appended to the code | ||
| If a physician implanted a pacemaker and 10 days later the patient returns to the same surgeon for removal of sutures, would you charge for the service? Why or why not? | ||
| If a patient is seen for a rash on the heel of the foot by the same physician who implanted a pacemaker 20 days earlierwould you bill for the office service for the rash? | ||
| When you bill for E/M services unrelated to a pacemaker implantation during the allowable follow-up days, what modifier would you use on the code to alert the third-party payor? | ||
| What are the four cardiac valves? | ||
| What is the name of the device that can be surgically implanted into the subcutaneous tissue in the upper left quadrant to record heart rhythms when the patient depresses a button | ||
| What arteries feed the heart? | ||
| When a heart artery is clogged and the heart muscle performs at a low level as a result of a lack of blood, the codition is called: ___________ ischemia | ||
| When a heart artery is clogged and the heart muscle dies, the codition is called ________ ischemia | ||
| A mass of undissolved matter in the blood that is transported by the blood current is a/n _____________________ | ||
| Local anesthesia, catheter introduction, and injection of _______ are procedures that are included in a vascular injection. | ||
Created by:
luci2