1
Supervision and interpretation codes for angiography are located where in the CPT manual?
Radiology Section
cpt:
The implantation of a patient-activated cardiac event recorder
33285
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
What does the abbreviation EP mean as it relates to cardiovascular services?
electrophysiology
PTCA is an acronym for Percutaneous Transluminal Coronary Angioplasty.
True
An example of a noninvasive cardiology procedure/service is:
placement of an intra-aortic balloon assist device
cardiovascular stress test
angioplasty
Cardiovascular stress test
DAILY DOUBLE
A five-vessel coronary artery bypass using two arteries and three vein grafts
33534, 33519
A percutaneous transluminal balloon angioplasty of the right renal artery from a right femoral artery access.
37246
____________________ is a procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle.
pericardiocentesis
If fluoroscopic guidance is used during the insertion of a pacemaker, it is bundled with the primary procedure and cannot be reported separately.
True
____ cardiology is entering the body to make a correction or for examination.
Inavsive
Within the cardiovascular system, what is compared to the branches of a tree?
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
A(n) ____ is a mass of undissolved matter that is present in blood and is transported by the blood.
emolus
Ambulatory blood pressure monitoring of 24 hours, utilizing automated report generating software, including the recording, scanning, analysis, interpretation, and report.
93784
Pacemaker insertion codes are divided based on the surgical
Approach
What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions?
Nuclear
Location: Inpatient Hospital CARDIOLOGY PROCEDURES PROCEDURE PERFORMED: Cardioversion. PROCEDURE: The patient was sedated. Under cardiac monitoring and pulse oximetry monitoring, the patient received 360 joules of synchronous energy with successful cardioversion to sinus rhythm. IMPRESSION: Successful cardioversion from atrial fibrillation to sinus rhythm. The patient will be started on sotalol and be monitored overnight.
92960
Placement of a temporary pacemaker. The right subclavian area was prepped and draped in the usual fashion. Local anesthetic was infiltrated. The subclavian vein was entered via Seldinger technique with a Cook needle. A guidewire was passed to the right heart. A 6-French dilator sheath was placed. The dilator and wire were then removed. The sheath was sutured into place. A 5-French bipolar pacemaker wire was placed near the apex of the right ventricle. Temporary pacing was instituted. Threshold was less than 0.5 mV. Pacer settings were 60 per minute demand and 5 MA. Patient returned to her room in good condition.
33210
The epicardial approach involves accessing a vein and inserting a needle with a wire into the vein.
False
What are the three sections of the CPT manual that you use to code many cardiovascular services?
Surgery, Radiology, Medicine
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
DAILY DOUBLE
Abdominal aortogram in an outpatient facility. The right groin was prepped and draped in the usual fashion. Seldinger technique was used to enter the femoral artery. A 6-French sheath was placed. A pigtail catheter was introduced in the upper abdominal aorta, and an AP aortogram was done using the DSA cut film technique using 20 cc of Omnipaque. Results: The abdominal aorta appears mildly irregular above and below the renal arteries, with no significant stenosis. Report physician services only.
36200,75625-26
DAILY DOUBLE
PTCA of left anterior descending coronary artery. A 6-French JL4 guiding catheter was used, and a 014 extra-support wire was passed through the LAD obstruction and “entered” the distal vessel. This was first dilated with a 3-mm 20 CrossSail balloon, subsequently with a 3.5 10 cutting balloon (arteriectasis). With the cutting balloon, there were four inflations at 6- 7 atmospheres and up to 1-minute inflation times. The balloon was withdrawn, and angiography showed the vessel to be wide open with mild irregularities and less than 15% narrowing remaining. There was no distal embolism. There was no dissection noted. There was normal TIMI flow. The case was then terminated at this point and balloons, catheters, and wires were removed, and the patient was sent to her room in good condition.
92920-LD
When coding a change of battery in a pacemaker, both the removal and the re-implantation are separately coded.
False