17 Questions
Which of the following procedures is included in the CPT codes describing endovascular repair of the descending thoracic aorta?
All of the above
What is the CPT code for ligation, division, and stripping of the long saphenous vein?
37722
When the tip of the catheter is manipulated from the insertion into the aorta and then out into another artery, this is called:
Selective catheterization
When coding a selective catheterization, how are the codes assigned?
One code for the vessel of entry and one for the final vessel, with intervening vessels not coded
Which of the following is a common misconception about coding arterial catheterizations?
Selective catheterization is coded with one code per vessel entered
Which of the following statements about endovascular repair of the descending thoracic aorta is true?
It involves all of the above procedures
What is the most appropriate CPT code for a CABG procedure using the saphenous vein to bypass the LAD?
33510
What code is assigned for complete pericardiectomy without cardiopulmonary bypass?
2.155
Which code represents a LIMA graft to the circumflex coronary artery and sequentially to the right coronary artery?
2.155
What code is assigned for the removal of an intra-aortic balloon pump percutaneously?
2.156
Which code represents the introduction of a catheter into the aorta?
2.157
What code is assigned for a laparoscopic splenectomy?
2.158
Which code represents the implantation of a tunneled central venous catheter with insertion of a Life-Port vascular access device (VAD) in a four-year-old patient?
2.159
What code is assigned for the creation of a Brescia-Cimino fistula for chronic hemodialysis?
2.160
Which code represents the ligation and stripping of long and short saphenous veins?
2.161
What code is assigned for venipuncture by cutdown in a 32-day-old patient?
2.162
Which code represents the injection for identification of a sentinel node?
2.163
Study Notes
Cardiovascular System Coding
- Endovascular repair of the descending thoracic aorta includes procedures such as angiography of the thoracic aorta, fluoroscopic guidance in delivery of the endovascular components, and pre-procedure diagnostic imaging.
- CPT code 37722 is a combination code for ligation, division, and stripping of the long saphenous vein.
Arterial Catheterizations
- In coding arterial catheterizations, when the tip of the catheter is manipulated from the insertion into the aorta and then out into another artery, this is called selective catheterization.
Cardiovascular Procedures
- CABG (Coronary Artery Bypass Grafting) using saphenous vein to the LAD (Left Anterior Descending) coronary artery has a specific code.
- Insertion of a permanent pacemaker with ventricular transvenous leads has a specific code.
- Replacement of the pulmonary valve has a specific code.
- Complete pericardiectomy without cardiopulmonary bypass has a specific code.
Vessel Coding
- When coding a selective catheterization, one code is assigned for each vessel entered.
Grafting and Implantation
- LIMA (Left Internal Mammary Artery) graft to the circumflex coronary artery and sequentially to the right coronary artery has a specific code.
- Implantation of a tunneled central venous catheter with insertion of a Life-Port vascular access device (VAD) has a specific code.
- Creation of a Brescia-Cimino fistula for chronic hemodialysis has a specific code.
Peripheral Vessel Procedures
- Ligation and stripping of long and short saphenous veins has a specific code.
- Venipuncture by cutdown in a patient 32 days of age has a specific code.
Other Interventions
- Injection for identification of sentinel node has a specific code.
- Repositioning of a phrenic nerve stimulator transvenous lead has a specific code.
- Intrauterine fetal blood transfusion has a specific code.
- Aortobifemoral bypass graft has a specific code.
- Replacement of a peripherally inserted central venous catheter (PICC) through same access has a specific code.
Pacemaker and Cardioverter
- The "battery" of a cardiac pacemaker refers to the generator.
Angioplasty and Revascularization
- Revascularization by percutaneous transluminal popliteal angioplasty has a specific code.
- Percutaneous endovascular revascularization of the right femoral vessel with transluminal stent placement and atherectomy has a specific code.
- Application of right and left pulmonary artery bands has a specific code.
Test your knowledge on cardiovascular system coding with questions about endovascular repair of the descending thoracic aorta, CPT codes for specific procedures, and arterial catheterizations. Determine which codes and procedures are applicable in different scenarios.
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