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Cardiology coding123
| Question | Answer |
|---|---|
| Pericardium | membrane surrounding the heart. |
| 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 | electrode of the pacemaker is placed only in the atrium or only in the ventricle, but not in both places. |
| Dual chamber device | electrodes of the pacemaker are placed in both the atrium and the ventricle of the heart. |
| Electrode | lead attached to a generator that carries the electrical current from the generator to the atria or ventricles. |
| Ventricle | chamber in the lower part of the heart. |
| Cardioverter defibrillator | surgically placed device that directs an electrical current shock to the heart to restore rhythm. |
| Artery | vessel that carries oxygenated blood from the heart. to the body tissues. |
| Biventricular pacemaker | pace the rhythm of the heart's lower chambers so that the chambers contract at the same time. |
| Endocardium | inner lining of the heart. |
| myocardium | muscle layer of the heart. |
| Vein | vessel that carries unoxygenated blood to the heart from the body tissues. |
| Pulse generator | houses the battery and a tiny computer. |
| Aneurysm | a sac of clotted blood or fluid formed in the circulatory system( e.g,vein or artery.) |
| Embolism | Blockage of a blood vessel by a blood clot or other matter that has moved from another area of the body via the circulatory system. |
| Thrombosis | blood clot |
| Endarterectomy | incision into an artery to remove the inner lining to remove disease or blockage. |
| Angioplasty | surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment of atherosclerotic disease. |
| Balloon angioplasty | involves temporaily inserting and blowing up a tiny balloon where your artery is clogged to help widen the artery. |
| Injection | forcing of fluid into a 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 caused by 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 within the body or to outside of the body |
| Shunt | divert or make an artificial passage. |
| Angiography | x-ray imaging of blood vessels after injection of contrast material. |
| Arteriography | is x-ray imaging of arteries after injection of contrast via a catheter into the aorta or an artery. |
| Computerized tomography angiography(CTA) | three dimensional x-ray images of the heart and coronary arteries using computed tomography. |
| Digital subtraction angiography | video equipment and a computer produce x-ray images of blood vessels. |
| Doppler ultrasound studies | sound waves measure movement of blood flow. |
| Echocardiography | echoes generated by high frequency sound waves produce images of the heart. |
| Positron emission tomography | images show blood flow and myocardial function following uptake of radioactive substances. |
| Cardiac MRI | images of the heart are produced with magnetic waves. |
| Cardiac catheterization | a thin, flexible tube is guided into the heart via a vein or an artery. |
| Electrocardiography | recording of electricity flowing through the heart. |
| Holter monitoring | An ECG device is worn during a 24 hour period to detect cardiac arrhythmias. |
| Stress test | exercise tolerance test determines the heart's response to physical exertion.(stress).. |
| Cardioversion( defibrillation) | very brief discharges of electricity, are applied across the chest to stop arrhythmias. |
| Coronary artery bypass grafting(CABG) | arteries and veins are anastomosed to coronary arteries to detour around blockages. |
| Endarterectomy | surgical removal of plaque from the inner layer of an artery. |
| Extracorporeal circulation | a heart lung machine diverts blood from the heart and lungs while the heart is repaired. |
| Heart transplantation | a donor heart is transferred to a recipient. |
| percutaneous coronary intervention | a balloon tipped catheter is inserted into a coronary artery to open the artery; stents are put in place. |
| Thrombolytic therapy | drugs to dissolve clots are injected into the bloodstream of patients with coronary thrombosis. |
| Troponins test | are specific proteins found in heart muscle. Troponin testing is done to diagnose heart attacks. |
| white blood cell differential | the blood differential test measures the percentage of each type of white blood cell that you have in your blood. |
| white blood cell count | measures the total number of WBCs( leukocytes) and the differential count. |
| Electron beam computed tomography | electron beams and CT identify calcium deposits in and around coronary arteries to diagnose early CAD. |
| Red blood cell morphology | microscopic examination of a stained blood smear to determine the shape of individual red cells. |
| Cardiopulmonary | refers to the heart and lungs. |
| pacemaker | electrical device that controls the beating of the heart by electrical impulses. |
| Dual chamber pacemaker | electrodes of the pacemaker are placed in two chambers of the heart. |
| Ventricle | chamber in the lower part of the heart. |
| Cardioverter defibrillator | surgically placed device that directs an electrical current shock to the heart to restore rhythm. |
| The cardiovascular term that means a procedure is performed through an incision into the body??? | invasive |
| The abbreviation MRA means??? | magnetic resonance angiography |
| Antiglobulin test | test for the presence of antibodies that coat and damage erythrocytes. |
| Bleeding time | time required for blood to stop flowing from a tiny puncture wound. |
| Complete blood count | determination of the number of red and white cells and platelets, hemoglobin level and hematocrit and red cell indices. |
| coagulation test | time required for venous blood to clot in a test tube. |
| erythrocyte sedimentation rate(ESR) | speed at which erythrocytes settle out of plasma. |
| Hemoglobin test | total amount of hemoglobin in a sample of peripheral blood. |
| Hematocrit | percentage of erythrocytes in a volume of blood. |
| Blood transfusion | whole blood or cells are taken from a donor and infused into a patient. |
| Autologous transfusion | is the collection and re infusion of the patient's own blood or blood components. |
| Bone marrow biopsy | microscopic examination of a core of bone marrow removed with a needle. |
| Hematopoietic stem cell transplantation | peripheral stem cells from a compatible donor are administered into a recipient's vein. |
| What are the two subheadings within the cardiovascular system subsection??? | Heart, pericardium, arteries and veins. |
| The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is???? | Cardiology |
| In Chapter 16 you learned about coding from which three sections of the CPT??? | surgery, medicine, radiology |
| Procedures that break the skin for correction or examination are known as???? procedures | invasive or interventional |
| Procedures that do not break the skin are known as ???? procedures. | noninvasive procedures. |
| The study of the heart's electrical system is known as??? | electrophysiology |
| Pulmonary valve | between the right ventricle and the pulmonary artery |
| What arteries feed the heart??? | coronary |
| 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??? | reversible ischemia. |
| When a heart artery is clogged and the heart muscle dies, the condition is called??? | irreversible ischemia |
| Popliteal artery | is located behind the knee. |
| Bundle of his recording | is test that measures electrical activity in a part of the heart that carries the signals that control the time between heartbeats. |
| Red blood count | is a blood test that tells how many red blood cells you have. |
| Angioscopy | studying the capillaries of the eyes. |
| Intracoronary brachytherapy | is the use of radioactive substances as a therapy for in stent restenosis of a coronary vessel. |
| endocardial resection | the surgeon removes a section of the thin layer of the heart where the abnormal rhythms originate. |
| Pacing | is the regulation of the heart rate. |
| Pacemaker insertion codes are divided based on the surgical??? | approach |
| All embolectomy procedures are performed through percutaneous access. True or False. | False |
| direct repairs of an aneurysm means accessing the aneurysm from?? | outside the vessel |
| How many components are there in reporting a cardiac catheterization??? | three |
| Why doesn't the CPT manual place all of the cardiovascular codes in one place??? | a revision took placed divided the technical and professional codes of the radiology section. |
| The cardiovascular physician/ surgeon services are the ??? component. | professional |
| Thallium 201 scan | concentration of a radioactive substance is measured in the myocardium. |
| When the radiology code states with contrast, it means which of the following???? | you cannot report the contrast and injection in addition to the radiology service. |
| The physician portion of a cardiovascular service is known as which component of the service??? | professional |
| Plateletpheresis | separation of platelets from the rest of the blood. |
| What is the term that describes the procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted into the space??? | periocardiocentesis |
| The names of the two devices that are inserted into the body to pace the heart into regular rhythm are pacemaker and??? | cardioverter defibrillator |
| The usual number of days of follow up for a pacemaker is ??? days. | 90 |
| What arteries feed the heart??? | coronary |
| The term means entering the body??? | invasive |
| A cardiologist is a(n) ??? medicine physician who has chosen to specialize in the diagnosis and treatment of conditions of the heart. | internal |
| What three section of the CPT will you often use to code cardiology services. | medicine, surgery, radiology |
| What type of cardiology enters the body- breaks the skin- to make a correction or for examination??? | invasive |
| What is the term that describes the study of the electrical system of the heart and includes the study of arrhythmias.???? | electrophysiology |
| If no mention of contrast is made in the radiology code description, you can code the supply of injected contrast separately with the physician services. | false |
| A mass of undissolved matter in the blood that is transported by the blood current is an???? | embolus |
| Duplex scan of aorta | is a noninvasive ultrasound test that is used to visualize and meaasure the aorta in the abdominal cavity. This is used to llok for an aneurysm. |
| Brachiocephalic artery | supplies oxygenated blood from the aorta to the head, neck and arm regions of the body. |
| BNP test | measurement of BNP( brain natriuretic peptide) in blood. This test identifies patients at risk for major complications after MI and with CHF.. |
| Lipid test( Lipid profile) | measurement of cholesterol and triglycerides in a blood sample. |
| Lipoprotein electrophoresis | lipoproteins( combinations of fat and protein) are physically separated in a blood sample. |
| Serum enzyme tests | chemicals measured in the blood as evidence of a heart attack. |
| What are the four cardiac valves??? | aortic, mitral, tricuspid, pulmonary |
| Aortic valve | It lies between the left ventricle and the aorta. |
| Mitral valve | is between the left atrium and left ventricle. |
| Tricuspid valve | between the right atrium and right ventricle. |
| Cardiac tumor codes are divided based on ???? | intracardiac or external |
| The device that can be inserted into the body to electrically shock the heart into regular rhythm.??? | cardioverter defibrillator |
| what are the three sections in which you will find the components( parts) of cardiovascular coding??? | surgery, medicine, radiology |
| pericardium codes are divided based on??? | initial or subsequent service. |
| The use of radioactive radiological procedures to aid in the diagnosis of cardiologic condition is termed ??? cardiology. | nuclear medicine |
| A catheter that is inserted into an artery and manipulated to a further order is termed ??? placement. | selective |
| A catheter that is inserted into an artery and not manipulated to a further order is termed ??? placement. | nonselective |
| Codes for excision of cardiac tumors are divided based on whether the tumor is located??? | internally, externally, intracardiac or external. |
| what are the names of two devices that are inserted into the body to electrically shock the heart into regular rhythm???? | pacemaker and cardioverter defibrillator. |
| The two approaches used to insert devices that electrically shock the heart into regular rhythm are??? | epicardial and transvenous |
| Prothrombin time(PT) | test of the ability of blood to clot. It is used to monitor patients taking the anticoagulant drug Coumadin ( warfarin) ... |
| Platelet count | is a test to measure how many platelelts you have in your blood. Platelets help the blood to clot. They are smaller than red or white blood cells. |
| Periocardiocentesis | the term that describes the procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted into the space. |
| 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??? | patient activated event recorder |
| Intravascular ultrasound | is a test that uses sound waves to see inside the coronary arteries. , the blood vessels that supply the heart. |
| Percutaneous transluminal angioplasty | blockage can also be pushed to the sides of the coronary arterial walls by a procedure in which a balloon is expanded inside the artery... |
| PLETHYSMOGRAPHY | is a recording of the change in a size of a body part when blood passes through it and is used to determine vascular abnormalities. |
| 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??? | NO suture removal is bundled into the pacemaker procedure. |
| If a patient is seen for a rash on the heel of the foot by the same physician who implanted a pacemaker 20 days earlier, would you bill for the office service for the rash??? | Yes, because the service is unrelated to the implantation. |
| 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 payer???? | modifier 24 |
| Local anesthesia , catheter introduction and injection of ??? are procedures that are included in a vascular injection. | contrast material |
| Which term describes diagnoses of conditions of the heart that would include the heartbeat??? | electrophysiology |
| Which of the following is not one of the sections of the CPT manual in which you will find cardiovascular service codes??? | E/M |
| Partial thromboplastin time(PTT) | is a blood test that looks at how long it takes for blood to clot. It can help tell if you have bleeding or clotting problems. |
| Signal averaged ECG(SAECG) | this exam looks for small electrical signals after the heartbeat that may trigger dangerous heart rhythms. It is conducted with the same equipment used for the 12 lead ECG. |
| apheresis | is a medical procedure that involves a blood donor receiving their blood back once the platelets or plasma have been extracted. |
| Surgical procedures in the heart and pericardium subheading contain procedures that are performed through both open surgical sites and ???? | percutaneously |
| ??? is an x-ray examination that enables the study of the patient's blood vessels and organs by injecting contrast media into the blood vessels and veiwing the results on a x-ray film???/` | angiography |
| If the patient is returned to the operating room for repositioning or replacement of the pacemaker or cardioverter defibrillator during the global period, modifier??? would be appended to the code. | modifier 78. |
| Valvuloplasty | is a procedure in which a small balloon is inserted and inflated to stretch and open a narrowed heart valve. |
| Transvenous approach | involves accessing a vein and inserting an electrode into the vein. the pacemaker is affixed by creating a pocket into which the pacemaker generator is placed. |
| Technetium TC 99m sestamibi scan | Technetium TC 99m sestamibi injected intravenously is taken up in cardiac tissue, where it is detected by scanning. |
| Transmyocardial revascularization | a procedure in which areas of cardiac ischemia are exposed to a laser beam to create holes in the surface of the heart. This procedure encourages new capillary growth, thereby revitalizing the damaged area by increasing the blood flow in the area. |
| Intravascular ultrasound services include all transducer ??? and repositioning within the specific vessel being examined both before and after therapeutic intervention( e.g stent placement).. | manipulation |
| Plasmapheresis | is a medical procedure in which blood is removed from the body and spun in a centrifuge to filter out the plasma. The red blood cells are returned to the body, and the plasma may be treated and reintroduced, or replaced, ... |
| Transluminal atherectomy | is a procedure in which a vessel is punctured and a guidewire is threaded into the vessel. The surgeon then inserts a device called an atherectomy catheter into the vessel. This catheter contains a device that can destroy the materials clogging the vessel |
| catheter-directed thrombolysis procedure, | x-ray imaging is used to help guide a special medication or medical device to the site of blood clots to dissolve the blockage. |
| Epicardial approach | which places the defibrillator on the outside of the heart. The epicardial technique requires open heart surgery wherein the lead(s) are sewn directly into the heart tissue, instead of inserting the leads through a vein. |
| Intracoronary stent placement | is performed using a catheter to reinforce a coronary vessel that has collapsed or is blocked. The placement of the stent is usually accomplished with radiographic guidance. the surgeon usually reports the stent placement... |
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