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50 terms

Chapter 16 Cardiovascular systerm Med coding

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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?