Chapter 16 Cardiovascular systerm Med coding

50 terms by annierigg

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Pericardium

Membranous sac enclosing the heart and ends of the great vessels

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 that carries to the atria or ventricles

Ventricle

Chamber in the lower part of the heart

Atrium

Chamber in the upper 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

Vein

Vessel that carries unoxygenated blood to the heart from the body tissues

Embolism

Blockage of a blood vessel by a blood clot or other matter that has moved from another area of the body through the circulatory system

Thrombosis

Blood clot

Endarterectomy

Incision into an artery to remove the inner lining to remove the inner lining to remove disease of blockage

Angioplasty

Surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment of atherosclerotic disease

Injection

Forcing of fluid into a vessel or cavity

Catheter

Tube placed into to 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

Intracardiac (internally) or external (externally)

Codes for excision of cardiac tumors are divided based on whether the tumor is located__________or__________

Pacemaker and cardioverter- defibrillator

What are the names of two devices that are inserted into the body to electrically shock the heart into regular rhythm?

78

If the patient is returned to the operating room for repositioning or replacement of the pacemaker of cardioverter-defibrillator during the global period, modifier_____ would be appended to the code.

no

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?

yes

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?

epicardial and transvenous

The two approaches used to insert devices that electrically shock the heart into regular rhythm are

24

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?

Aortic, Mitral, Tricuspid, and Pulmonary

What are the four cardiac valves?

Patient activated event recorder

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?

Coronary

What arteries feed the heart?

reversible

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_________ ischemia.

irreversible

When a heart artery is clogged and the heart muscle dies, the condition is called________ischemia.

Embolus

A mass of undissolved matter in the blood that is transported by the blood current is a (a) ______.

Contrast material

Local anesthesia, catheter introduction, and injection of ___________ _____________ are procedures that are included in a vascular injection.

Heart/Pericardium and Arteries and Veins

What are the two subheadings within the Cardiovascular System subsection?

Cardiology

The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is_____________

Surgery ,Medicine, and Radiology

In Chapter 16 you learned about coding from which three sections of the CPT?

Invasive

Procedures that break the skin for correction of examination are known as _________ procedures.

noninvasive

Procedures that do not break the skin are known as _______ procedures.

Electrophysiology

The study of the heart's electrical system is known as_________________

Selective

A catheter that is inserted into an artery and manipulated to a further order is termed__________

non selective

A catheter that is inserted into an artery and not manipulated to a further order is termed_________placement.

Percutaneously

Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and __________________.

saphenous vein graft

According to the CPT manual notes for bypass grafts, which of the following procurements is bundled in the bypass?

CABG

What is the acronym commonly used for coronary artery bypass graft?

L

Which CPT Appendix would be a helpful resource for selective vascular coding?

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