Principles of CPT Coding workbook
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What does a pacemaker system include? | a pulse generator (containing electronics and a battery) and one or more electrodes.
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| Where might the Electrodes (leads) be inserted in a pacemaker system? | they are inserted thru a vein (transvenous) or placed on the surface of the heart (epicardial)
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| What does an epicardial placement of electrodes require? | A Thoracotomy or sternum
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| What does a single pacemaker system include? | a pulse generator and one electrode inserted in either the atrium or the right ventricle.
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| What does a dual-chamber pacemaker system include? | involves insertion of electrodes into both the atrium and the right ventricle that are then connected to a pulse generator capable of pacing and sensing both atrium and the ventricle.
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| What is a Biventricular pacing system? | is used when pacing of the left ventricle is required in addition to pacing of the right ventricle.
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| What type of placement is used in a Biventricular system? | It is similar to that of a single- or dual-chamber system, with additional complexity of the transvenous placement of the lead in a cardiac vein to reach the left ventricle.
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| What is a Pacing Cardioverter-Defibrillator System? | This device recognizes and provides antitachycardia pacing, dual-chamber bradycardia therapy, and atrial and/or ventricular defibrillation therapy.
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| Where can a Pacing Cardioverter-Defibrillator System be placed? | They can be implanted in subcutaneous infraclavicular pocket or in an abdominal pocket.
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| What is Epicardial Lead Placement? | Electrode positioning on the epicardial surface of the heart requires thoracotomy, or thoracoscopic placement of the leads.
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| What does removal of these epicardial leads entail? | May first be attempted by transvenous extraction (33244). If this does not work then a thoracotomy may be required to remove electrodes (33243)
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| CABG | Coronary Artery Bypass Graft
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| How is a bypass operation performed with only venous grafts reported? | 33510-33516
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| How is a bypass operation performed with only internal mammary arteries or other arteries reported? | 33533-33536
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| How is bypass operations performed with a combination or venous and arterial grafts for distal anastomoses reported | 33533-33536
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| How is the 3rd reporting method of CABG reported? | 33517-33523
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| T/F Codes 33517-33523 are not exempt from the use of modifier 51. | False
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| For component coding what should you know. | That it is a subsection of vascular interventions and that its diagnostic or therapeutic services that are provided. Also when its therapeutic you can not code for diagnostic services.
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| T/F You shouldn't use an add-on code for the # of distal venous anastomoses used for the 3rd reporting method of CABG. | False
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