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Exam: 381752RR - CARDIOLOGY1. A patient has the following procedure performed: selective catheter placement in the first-orderbrachiocephalic artery, with angiography, including contrast done at the clinical catheterization laboratory.Assign the correct CPT codes.A. 36200, 75705, 99070B. 36215-RT, 75710, 99070C. 36216, 75710, 99070D. 36215, 75705, 990702. A patient is receiving peripheral arterial disease (PAD) rehabilitation sessions that last 45–60 minutes.Which of the following statements is false?A. The goal of the rehabilitation exercises is to build the patient's cardiovascular endurance.B. An exercise physiologist or nurse supervises the sessions.C. If a patient experiences symptoms of angina or other negative symptoms, the physician reviews the information and may reevaluatethe patient.D. The physician service codes are included in the PAD codes.3. Which of the following is the correct ICD-9-CM code for pulmonary aneurysm?A. 417.8B. 417.1C. 417.9D. 417.04. A patient has a bypass graft, with vein; carotid-subclavian. Assign the correct CPT code.A. 33534B. 33519C. 35556D. 355065. The brachiocephalic artery is the _______ vessel in the brachiocephalic vascular family.A. second-orderB. first-orderC. third-orderD. fourth-order6. For items that aren't bundled into the vascular injection procedure, you report each item separately.Which of the following would not be bundled and would be billed separately?A. CatheterB. Injection of contrast mediaC. Pre-injection care related to the procedureD. Local anesthesia7. _______ is an x-ray examination that enables the study of the patient's blood vessels and organs byinjecting contrast media into the blood vessel and viewing the results on x-ray film.A. PericardiocentesisB. AngioscopyC. Transmyocardial revascularizationD. Angiography or angiogram8. According to the CPT Manual notes for bypass grafts, which of the following procurements is bundledin the bypass?A. Femoropopliteal vein graftB. Upper extremity vein graftC. Composite graftD. Saphenous vein graft9. There are two approaches that are used when inserting a pacemaker. Which approach involves openingthe chest cavity?A. TransducerB. EpicardialC. InterventionalD. Transvenous10. The _______ are the electrodes that are placed into the atrium and/or ventricle of the heart when apacemaker is inserted.A. cathetersB. threadsC. guidewiresD. leads11. Which of the following is the correct CPT code for the implantation of a patient-activated cardiac eventrecorder?A. C1764B. 33282C. 33284D. E061612. Which CPT code assignment is correct for a bundle of His recording?A. 93600-26B. 93600-51C. 93602D. 9360313. Which of the following is the correct code for an in-person electronic evaluation of a dual-chamberpacemaker system with reprogramming?A. 93724B. 93641C. 93280D. 9329614. _______ involves entering the body to make a correction or for examination.A. AngiographyB. ElectrophysiologyC. Noninvasive cardiologyD. Invasive cardiology15. A male patient has been getting very tired walking up and down stairs. The patient complains of havinga hard time catching his breath and experiences instances when his heart feels as if it is beating fast. Hisphysician has told him that he will require a pacemaker implantation. The patient has the surgery and asingle-lead pacemaker is implanted with a ventricular lead. Assign the correct CPT code.A. 33216B. 33282C. 33214D. 3320716. A patient presents to the physician's office to have blood drawn for various lab tests. The venous bloodis drawn by the medical assistant and sent to the lab with an order from the physician. Code only thedrawing of the blood.A. 36415B. 36600C. 36592D. 3641617. Which of the following is the correct ICD-9-CM code for ruptured abdominal aortic aneurysm?A. 414.19B. 442.89C. 441.3D. 441.518. _______ is a procedure in which the surgeon withdraws fluid from the pericardial space by means of aneedle inserted percutaneously into the space.A. PericardiocentesisB. AngioscopyC. Coronary artery bypass graftingD. Percutaneous transluminal coronary angioplasty19. A patient had a pacemaker inserted three days ago. Today the patient is complaining of feeling verydizzy. The electrocardiogram is showing some abnormalities. The patient is returned to the operating roomand the physician discovers that the pacemaker lead is malfunctioning. The pacemaker lead is replaced andthe patient recovers uneventfully. Assign the correct CPT code.A. 33216-79B. 33216-58C. 33216-76D. 33216-7820. _______ is a blood clot that occludes, or shuts off, a vessel.A. ThrombectomyB. ThrombusC. AneurysmD. Embolus21. What does the abbreviation EP mean as it relates to cardiovascular services?A. Elective procedureB. Electric pathologyC. ElectropathophysiologyD. Electrophysiology22. Reinforcing a collapsed or blocked coronary vessel is done usingA. coronary endarterectomy.B. coronary thrombectomy.C. CABG.D. intracoronary stent placement.23. What is the code for a tunneled centrally inserted central venous catheter, without pump or port, in a72-year-old patient?A. 36558B. 36575C. 36556D. 3655724. A patient with a pacemaker is seen by the physician within the 90-day follow-up (global) period forimplantation. However, he presents today for a problem not related to the implantation. Which of thefollowing statements is false?A. Service for the new problem can be billed.B. Append the E/M service code with modifier -24.C. Documentation in the medical record must support the statement that the service is unrelated to the implantation.D. Append the E/M service code with modifier -25.25. In which type of catheter placement is the catheter moved, manipulated, or guided into a part of thearterial system other than the vessel punctured?A. SelectiveB. InfiltratedC. InfusedD. Localized26. How many postoperative days are usually assigned for the global period following implantation of apacemaker?A. 10B. 12C. 90D. 6227. All of the following are bundled into the cardiac catheterization codes exceptA. aortography.B. taking blood samples.C. introduction, positioning, and repositioning of the catheter.D. the recording of pressures inside the heart or vessels.28. Code 36000 (Introduction of needle or intracatheter, vein) is an example ofA. artery bypass.B. selective catheterization.C. injection procedure.D. non-selective catheterization.29. Which CPT Appendix would be a helpful resource for selective vascular coding?A. Appendix IB. Appendix CC. Appendix AD. Appendix L30. A patient is in cardiac arrest. A physician provides CPR to the patient. Assign the correct CPT code.A. 92950B. 92970C. 92950-22D. 92950-7831. Pacemaker insertion codes are divided based on the surgicalEnd of examA. necessity.B. type.C. approach.D. complexity.32. Which of the following is an example of a noninvasive cardiology procedure/service?A. Placement of an intra-aortic balloon assist deviceB. AngioplastyC. Cardiovascular stress testD. Placement of a temporary pacemaker33. The _______ is a device that can be inserted into the body to electrically shock the heart into regularrhythm.A. transverse markerB. cardioverter-defibrillatorC. Holter monitorD. epicardial rhythm enhancer34. Which of the following is the correct CPT code for thromboendarterectomy with patch graft, tibial?A. 35304B. 33916C. 35305D. 3530335. _______ is the procedure in which the surgeon withdraws fluid from the pericardial space by means ofa needle inserted percutaneously into the space.A. LaparotomyB. CentesisC. PericardiocentesisD. Pericardiotomy ................
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