Intro to coding: chapters 11,12,13

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chapters 21 thru 25

If fluoroscopic guidance is used during the insertion of a pacemaker, it is bundled with the primary procedure and cannot be reported separately.

True

The epicardial approach involves accessing a vein and inserting a needle with a wire into the vein.

False

When coding a change of battery in a pacemaker, both the removal and the re-implantation are coded.

True

To correctly report coronary bypass grafts, you must know the anatomical site from which the vessel being grafted came.

True

PTCA is an acronym for Percutaneous Transluminal Coronary Angioplasty.

True

____ cardiology is entering the body to make a correction or for examination.

Invasive

Supervision and interpretation codes for angiography are located where in the CPT manual?

Radiology section

An example of a noninvasive cardiology procedure/service is:

cardiovascular stress test

The major division of the Cardiovascular subsection is whether a procedure involved a ____ vessel.

coronary or noncoronary

____ is a procedure in which fluid is withdrawn from the space around the heart through a needle and a catheter is left in to allow for continued drainage.

Pericardiostomy

What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions?

nuclear

What does the abbreviation EP mean as it relates to cardiovascular services?

electrophysiology

Pacemaker insertion codes are divided based on the surgical:

approach

The device that can be inserted into the body to electrically shock the heart into regular rhythm.

cardioverter-defibrillator

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 are the three sections of the CPT manual that you use to code many cardiovascular services?

Surgery, Radiology, Medicine

Which item is NOT considered to be bundled in with a vascular injection?

contrast media

A(n) ____ is a mass of undissolved matter that is present in blood and is transported by the blood.

embolus

The number of postoperative days usually assigned for the global period following implantation of a pacemaker is:

90 days

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

Within the cardiovascular system, what is compared to the branches of a tree?

vascular families

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

The pulse generator of a pacemaker is also referred to as:

the battery

Cardiovascular stress test codes are used for:

both a and b

If the clinic physician performs the catheterization procedure at the hospital, which modifier would you append to the catheterization code?

-26

The ____ manufactures most blood cells.

bone marrow

The spleen is composed of this material that also surrounds veins and arteries.

lymph tissue

____ is a malignant disease of the bone marrow in which excessive white blood cells are produced.

Leukemia

Mediastinum codes are identified by which factor?

surgical approach

This type of lymphadenectomy is the removal of the lymph nodes, glands, and surrounding tissues:

radical

This bone marrow is taken from a close relative, so there is a genetic similarity.

allogeneic

What word describes a lymphadenectomy in which only the lymph nodes are removed?

limited

What is it called when the diaphragm is out of normal position and has moved up farther into the thoracic cavity?

eventration

A person can live without a spleen.

True

The upper jugular group of lymph nodes are located in the groin.

False

When a colectomy is performed, a segment of the stomach is resected and an anastomosis is performed between the remaining ends.

False

With the exception of incisional and ventral hernias, the use of mesh or other prosthesis is not separately reported when performing hernia repairs.

True

The first step in choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure.

extent

When a diagnostic colonoscopy is coded, the code includes:

all of the above

The procedure used to develop an artificial opening through the abdominal wall is:

exteriorization

What two words are important factors in coding hernia repair?

incarcerated/strangulated

The mucosal and submucosal tissue of the lips and cheeks are included in the oral cavity.

True

Match each term with the correct statement.
Examination of the sigmoid colon
Diagnostic laparoscopy
Examination of the entire colon
Examination of the rectum and sigmoid colon

b. Sigmoidoscopy
c. Peritoneoscopy
d. Colonoscopy
a. Proctosigmoidoscopy

This bone marrow is collected from the patient and later transplanted or re-infused back into the patient from whom it came.

autologenic

The diaphragm is a wall of muscle that separates the thoracic and abdominal cavities.

True

If a procedure is performed on the skin of the lip the code is selected from which CPT body system?

Integumentary

To choose the correct endoscopy code, identify the farthest extent to which the scope was passed and then the procedures performed.

True

A frenotomy refers to surgical repair of the lingual frenulum.

False

Which of the following modifiers would be used to show that lymph nodes were removed from both sides of the neck?

-50 (bilateral)

The term resection of the intestine means taking out a portion of the intestine and either joining by anastamosis or developing an artificial opening through the abdominal wall.

True

When urodynamics are performed and the physician only interprets the results, the correct modifier would be:

-26

An instillation procedure of the bladder is performed for treatment of:

bladder cancer

When lithotripsy is performed, the patient may be surrounded by:

liquid

The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate.

brachytherapy

Within the Male Genital System, the greatest numbers of codes fall under what category?

Penis

The term that describes the study of the motion and flow of urine is:

urodynamics

The Urinary System subsection is first arranged anatomically.

True

Priapism is when a male cannot obtain an erection.

False

A nephrectomy is the excision of the renal pelvis

False

Urethral dilation codes are often divided based on this factor:

initial or subsequent

Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided based on this unique factor:

existence of a stoma

One of the most common conditions of the prostate is BPH.

True

Surgical laparoscopy always includes:

diagnostic laparoscopy

Antepartum care includes

initial and subsequent history, physical exams, recording of weight, blood pressures, fetal heart tones, and routine UA

For medical complications of pregnancy, the physician would report his additional professional services using codes from what section or subsection?

E/M

The anatomy in the Female Genital System subsection starts with the vulva and progresses upward to the:

ovary

Incision and drainage of these glands are not reported using Female Genital System codes but are instead reported using Surgery section, Urinary System codes.

Skene's

According to the text, vulvectomy codes are divided based on the ____ and extent of vulvar area removed during the procedure.

size

Loop electrode excision procedures are also referred to as:

all of the above

Hysterectomy codes are first divided in the CPT manual based on the ____ and then on any secondary procedure(s) that were done.

approach

In which of the following categories would you locate a code for the removal of an IUD?

introduction

If a patient has had a previous cesarean delivery and then has a vaginal delivery, the correct code would be:

59610

You would expect to code a service for an amniocentesis using a code from the Female Genital System subsection and a code from the ____ section.

Radiology

Colpotomy is an incision into the vagina.

True

A radical vulvectomy is the removal of greater than 80% of the vulvar area.

False

Match each term with the correct statement below.
Loop electrode excision procedure: c
Suturing of uterine cervix: b
Introduction of saline into tubes/ovaries to determine patency: e
Cervical dilator: d
Vaginal birth after cesarean: a

c. LEEP
b. Cerclage
e. Hysterosonography
d. Prostaglandin
a. VBAC

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