Deck 9: Cardiology and Cardiovascular System

Question 1

ECG and EKG are the same test, and the names are used interchangeably.

Answer 1

True

Question 2

A patient is seen in a clinic for a blood pressure screening. During this encounter, the patient is prescribed Norvasc for his hypertension. Code V81.1 should be listed first followed by the code for hypertension.

Answer 2

True

Question 3

While performing a transcatheter procedure, if the physician indicates a C-arm was used, an additional code for ____________________ is assigned.

Answer 3

fluoroscopy

Question 4

The family trees for vessels are arterial, venous, pulmonary, portal, and ____________________.

Question 5

When a diagnostic and an interventional procedure are performed at the same session, these can never be assigned together and only the interventional procedure is coded.

Question 6

Personal history indicates that a condition is past, the patient is no longer receiving treatment, and there is no potential for recurrence and no further monitoring is required.

Question 7

Patient is seen in follow-up with her physician for CHF due to hypertensive heart disease. Patient also has chronic renal failure and is on dialysis.

A) 404.92, 428.0
B) 404.93
C) 586, 403.91
D) 404.90

Question 8

Patient has hypertensive retinopathy for the last 3 years. Patient has been noncompliant with medication and diet regimen, and BP has been erratic.

A) 362.11, 401.9
B) 362.11
C) 365.04
D) 401.9

Question 9

____________________ is defibrillation forcing the patient's heart electrical impulses back into normal sinus rhythm.

Question 10

____________________ is reconstitution or recanalization of a blood vessel by balloon dilation, mechanical stripping, forceful injection of fibrinolytics, or placement of a stent.

Question 11

Long-term use

A) Tunneled central venous catheter
B) Non-selective catheterization
C) Bifurcations
D) Selective catheterization
E) Non-tunneled venous catheter

Question 12

All chronic illnesses should be reported by each physician who cares for the patient regardless of whether treated during the encounter.

Question 13

When the physician lists hypertension and chronic renal failure, the conditions are reported with two separate codes unless the physician specifically states a cause-and-effect relationship.

Question 14

Heart failure is not coded in addition to hypertensive heart and renal disease.

Question 15

For transcatheter procedures, there are three components to the procedure. Likewise there are three codes required: catheter placement, therapeutic service, and ____________________.

Question 16

While reading the medical record, you see the BP recordings at the last three visits were as follows: 120/95, 130/100, 140/100. What is the diagnosis code?

A) 401.9
B) 401.1
C) 796.2
D) 401.0

Question 17

When coding hypertensive cerebrovascular disease, a code from the 401-438 code range is assigned first followed by an additional code for the hypertension type.

Question 18

Patient is seen in preoperative testing for an EKG. Patient is scheduled for a cystocele repair 2 days from now. Patient has a strong cardiac history which consists of angioplasty and stent placement and hypertension. Which codes would appear on the facility bill?

A) 618.01, 401.9, 93000-TC
B) V72.81, 93005-TC
C) 401.9, V45.82, 618.01, 93040-TC
D) V72.81, 401.9, V45.82, 618.01, 93000-TC

Question 19

A man sustains a puncture injury to the right upper arm during an MVA where the windshield glass became embedded in his arm, puncturing the brachial artery. He is taken to the ER. He is taken to surgery where the artery is repaired. How is this coded?

A) 35458-RT, 903.1, 880.03, E819.0
B) 35206-RT, 903.1, 880.03, E819.9
C) 35206-RT, 903.1
D) 35458-RT, 903.1, 884.0, E819.9

Question 20

During a CT scan of the hand, contrast was introduced using a power injector and the patient's arm began to swell. During the injection, the vein was injured and the tissue became infiltrated. Assign the diagnosis code(s).

A) 903.9, E870.1
B) 903.9, E870.3
C) 959.2, E920.5
D) 959.2, E870.1

Question 21

Second and third order

A) Tunneled central venous catheter
B) Non-selective catheterization
C) Bifurcations
D) Selective catheterization
E) Non-tunneled venous catheter

Question 22

CABG using left saphenous vein to the LIMA. Assign the appropriate code(s).

Question 23

Catheter is placed directly into vessel.

A) Tunneled central venous catheter
B) Non-selective catheterization
C) Bifurcations
D) Selective catheterization
E) Non-tunneled venous catheter

Question 24

A 59-year-old man was found lying in the subway terminal. He had collapsed and was unresponsive. A passerby began CPR while waiting for an ambulance. He arrived in the ER asystole. Diagnosis was cardiopulmonary arrest probably secondary to an acute MI. Family is requesting an autopsy. Assign the appropriate code(s).

Question 25

Patient has ESRD and requires dialysis. An arteriovenous fistula is created in the right arm by direct anastomosis for long-term dialysis access. Assign the procedure code.

Question 26

Patient is to undergo chemotherapy and needs vascular access. Patient is a 47-year-old admitted for central insertion of central venous access with port. Assign the appropriate code(s).

Question 27

Catheter is guided to a blood vessel.

A) Tunneled central venous catheter
B) Non-selective catheterization
C) Bifurcations
D) Selective catheterization
E) Non-tunneled venous catheter

Question 28

A 70-year-old man is being seen in the cardiac rehab unit. He is status post open heart surgery for heart valve prosthesis due to mitral valve prolapse. Assign the appropriate code(s).

Question 29

Endovascular repair of abdominal aortic aneurysm using fenestrated modular bifurcated prosthesis with radiological supervision and interpretation. Assign the appropriate code(s).

Question 30

Insertion of a single atrial chamber permanent pacemaker with insertion of the pulse generator and placement of electrode. Assign the appropriate code(s).

Question 31

Short-term use

A) Tunneled central venous catheter
B) Non-selective catheterization
C) Bifurcations
D) Selective catheterization
E) Non-tunneled venous catheter