Chapter 10 Review Exam Test Questions with Verified Answers
Graded A+
What part of the cardiovascular system is correct CPT® codes for this procedure. -
responsible for the one-way flow of blood ANSWER -92928-RC, 92928-LD, 92920-LC
through the chambers of the heart? - Rationale: Only one base intervention is reported
ANSWER -Heart valves for each major coronary artery. The hierarchy
Rationale: Heart valves are made of flaps from highest to lowest is as follows: atherectomy,
(cusps/leaflets) opening and closing like one way stent placement, followed by angioplasty. The
swinging doors, preventing blood from flowing base intervention code 92928 is reported for the
back. stent placement in the right coronary (92928-RC)
and the left anterior descending arteries (92928-
LD). Each is reported with the corresponding
How many layers of tissue does an artery have? coronary artery modifiers. Look in the CPT®
- ANSWER -Three Index for Coronary Artery/Angioplasty/with Stent
Rationale: An artery has three layers: an outer Placement and you are directed to 92928-92929.
layer of tissue, a muscular middle and an inner To locate the angioplasty code, look in the CPT®
layer of epithelial cells. Index for Coronary Artery/Angioplasty which
directs you to 92920-92921. The base code
92920-LC is reported for the angioplasty of the
The conduction system contains pacemaker left circumflex.
cells, nodes, the ____ and the ____. -
ANSWER -Purkinje fibers and bundle of
His In ICD-10-CM what is the default code for
Rationale: The conduction system contains coronary artery atherosclerosis? -
pacemaker cells, nodes, the bundle of His and ANSWER -I25.10 Atherosclerosis heart
the Purkinje fibers. disease of native coronary artery without angina
pectoris
Rationale: In the ICD-10-CM Alphabetic Index
Repair of coronary vessel is called: - look for Atherosclerosis/coronary/artery which
ANSWER -Angioplasty directs the coder to I25.10. In addition, the coding
Rationale: Angio = vessel, plasty = repair for ICD-10-CM requires the documentation to
state when there is presence of angina pectoris.
If angina pectoris is present, the coder also
Which main coronary artery bifurcates into two needs to confirm if the documentation mentions a
spasm.
smaller ones? - ANSWER -Left
Rationale: The left main coronary artery
branches into two slightly smaller arteries: the left
What information is required to accurately code
anterior descending coronary artery and the left
PVD with diabetes in ICD-10-CM? -
circumflex coronary artery.
ANSWER -Whether the patient has
gangrene.
Intracoronary stents are placed percutaneously Rationale: PVD is the abbreviation for Peripheral
in the right coronary and left anterior descending Vascular Disease. ICD-10-CM indexes PVD with
arteries for a patient with stenosis. Percutaneous diabetes with one code. For proper code
transluminal balloon angioplasty is performed on selection the provider must document if the
the left circumflex coronary artery. Choose the patient has gangrene or not. Look in the ICD-10-
CM Alphabetic Index for Diabetes,
1/8
, Chapter 10 Review Exam Test Questions with Verified Answers
Graded A+
diabetic/with/peripheral angiopathy which directs
the coder to E11.51. Select the ICD-10-CM diagnosis codes used for
pseudoaneurysm, cardiac tamponade and left
ventricular failure. - ANSWER -I72.9, I31.4,
Aortography and bilateral extremity angiography I50.1
were performed. The physician placed the Rationale: In the ICD-10-CM Alphabetic Index
catheter in the aorta at the level of the renal look for Pseudoaneurysm which directs the user
arteries and injected contrast for the aortography to see Aneurysm. Look for Aneurysm and the
and repositioned the catheter just above the subterm pseudoaneurysm is not listed; therefore,
bifurcation for angiography of the lower the unspecified code I72.9 is correct. In the
extremities. Which CPT® codes are reported? - Alphabetic Index look for Tamponade, heart
ANSWER -36200, 75625-26, 75716-26 referring you to I31.4. Next, in the Alphabetic
Rationale: Because the catheter was Index look for Failure/ventricular/left which directs
repositioned, and separate studies were you to I50.1. Verify code selection in the Tabular
performed, both the aortography and the List.
extremity angiography are reported. Look in the
CPT® Index for Catheterization/Aorta which
directs you to 36160-36200. In the CPT® Index In the cath lab a physician places a catheter in
see Aorta/Aortography and you are referred to the aortic arch from a right femoral artery
75600-75630. To locate angiography of the lower puncture to perform an angiography.
extremities, look for Angiography/Leg Artery Fluoroscopic imaging is performed by the
referring you to 73706, 75635, 75710-75716. physician. What CPT® code(s) is/are reported? -
Modifier 26 reports the professional service. ANSWER -36221
Rationale: The aorta is the trunk of the system,
so this is a non-selective catheterization. Look in
A physician states he performed a the CPT® Index for Angiography/Cervicocerebral
comprehensive EP study with induction of Arch. Only one code is reported for the
arrhythmia in the hospital. The report shows catheterization and fluoroscopic imaging which is
bundle of His recording, pacing and recording of 36221.
the right atrium, and induction of arrhythmia by
electrical pacing. What CPT® codeing is
reported? - ANSWER -93600-26, 93602- Physician changes the old battery to a new one
26, 93610-26, 93618-26 on a patient's dual chamber permanent
Rationale: Although the physician stated a pacemaker. What CPT® code(s) is/are reported?
comprehensive EP study was performed, the - ANSWER -33228
right ventricular pacing and recording, and left Rationale: CPT® guidelines state "When the
atrial pacing and recording from the coronary battery of a pacemaker is changed, it is actually
sinus or left atrium were not done. The the pulse generator that is changed." It is
components must be billed separately. Look in reported with one code. In the CPT® Index look
the CPT® Index for Electrophysiology Procedure for Pacemaker. This will direct you to see Cardiac
directing you to 93600-93660. The procedure Assist Devices. Look for Cardiac Assist
was performed in the hospital; therefore, modifier Devices/Pacemaker System/Replacement/Pulse
26 is appended to all the codes to report the Generator referring you to codes 33227-33229.
professional service. Code 33228 is reported for dual chamber (dual
lead system).
2/8
Graded A+
What part of the cardiovascular system is correct CPT® codes for this procedure. -
responsible for the one-way flow of blood ANSWER -92928-RC, 92928-LD, 92920-LC
through the chambers of the heart? - Rationale: Only one base intervention is reported
ANSWER -Heart valves for each major coronary artery. The hierarchy
Rationale: Heart valves are made of flaps from highest to lowest is as follows: atherectomy,
(cusps/leaflets) opening and closing like one way stent placement, followed by angioplasty. The
swinging doors, preventing blood from flowing base intervention code 92928 is reported for the
back. stent placement in the right coronary (92928-RC)
and the left anterior descending arteries (92928-
LD). Each is reported with the corresponding
How many layers of tissue does an artery have? coronary artery modifiers. Look in the CPT®
- ANSWER -Three Index for Coronary Artery/Angioplasty/with Stent
Rationale: An artery has three layers: an outer Placement and you are directed to 92928-92929.
layer of tissue, a muscular middle and an inner To locate the angioplasty code, look in the CPT®
layer of epithelial cells. Index for Coronary Artery/Angioplasty which
directs you to 92920-92921. The base code
92920-LC is reported for the angioplasty of the
The conduction system contains pacemaker left circumflex.
cells, nodes, the ____ and the ____. -
ANSWER -Purkinje fibers and bundle of
His In ICD-10-CM what is the default code for
Rationale: The conduction system contains coronary artery atherosclerosis? -
pacemaker cells, nodes, the bundle of His and ANSWER -I25.10 Atherosclerosis heart
the Purkinje fibers. disease of native coronary artery without angina
pectoris
Rationale: In the ICD-10-CM Alphabetic Index
Repair of coronary vessel is called: - look for Atherosclerosis/coronary/artery which
ANSWER -Angioplasty directs the coder to I25.10. In addition, the coding
Rationale: Angio = vessel, plasty = repair for ICD-10-CM requires the documentation to
state when there is presence of angina pectoris.
If angina pectoris is present, the coder also
Which main coronary artery bifurcates into two needs to confirm if the documentation mentions a
spasm.
smaller ones? - ANSWER -Left
Rationale: The left main coronary artery
branches into two slightly smaller arteries: the left
What information is required to accurately code
anterior descending coronary artery and the left
PVD with diabetes in ICD-10-CM? -
circumflex coronary artery.
ANSWER -Whether the patient has
gangrene.
Intracoronary stents are placed percutaneously Rationale: PVD is the abbreviation for Peripheral
in the right coronary and left anterior descending Vascular Disease. ICD-10-CM indexes PVD with
arteries for a patient with stenosis. Percutaneous diabetes with one code. For proper code
transluminal balloon angioplasty is performed on selection the provider must document if the
the left circumflex coronary artery. Choose the patient has gangrene or not. Look in the ICD-10-
CM Alphabetic Index for Diabetes,
1/8
, Chapter 10 Review Exam Test Questions with Verified Answers
Graded A+
diabetic/with/peripheral angiopathy which directs
the coder to E11.51. Select the ICD-10-CM diagnosis codes used for
pseudoaneurysm, cardiac tamponade and left
ventricular failure. - ANSWER -I72.9, I31.4,
Aortography and bilateral extremity angiography I50.1
were performed. The physician placed the Rationale: In the ICD-10-CM Alphabetic Index
catheter in the aorta at the level of the renal look for Pseudoaneurysm which directs the user
arteries and injected contrast for the aortography to see Aneurysm. Look for Aneurysm and the
and repositioned the catheter just above the subterm pseudoaneurysm is not listed; therefore,
bifurcation for angiography of the lower the unspecified code I72.9 is correct. In the
extremities. Which CPT® codes are reported? - Alphabetic Index look for Tamponade, heart
ANSWER -36200, 75625-26, 75716-26 referring you to I31.4. Next, in the Alphabetic
Rationale: Because the catheter was Index look for Failure/ventricular/left which directs
repositioned, and separate studies were you to I50.1. Verify code selection in the Tabular
performed, both the aortography and the List.
extremity angiography are reported. Look in the
CPT® Index for Catheterization/Aorta which
directs you to 36160-36200. In the CPT® Index In the cath lab a physician places a catheter in
see Aorta/Aortography and you are referred to the aortic arch from a right femoral artery
75600-75630. To locate angiography of the lower puncture to perform an angiography.
extremities, look for Angiography/Leg Artery Fluoroscopic imaging is performed by the
referring you to 73706, 75635, 75710-75716. physician. What CPT® code(s) is/are reported? -
Modifier 26 reports the professional service. ANSWER -36221
Rationale: The aorta is the trunk of the system,
so this is a non-selective catheterization. Look in
A physician states he performed a the CPT® Index for Angiography/Cervicocerebral
comprehensive EP study with induction of Arch. Only one code is reported for the
arrhythmia in the hospital. The report shows catheterization and fluoroscopic imaging which is
bundle of His recording, pacing and recording of 36221.
the right atrium, and induction of arrhythmia by
electrical pacing. What CPT® codeing is
reported? - ANSWER -93600-26, 93602- Physician changes the old battery to a new one
26, 93610-26, 93618-26 on a patient's dual chamber permanent
Rationale: Although the physician stated a pacemaker. What CPT® code(s) is/are reported?
comprehensive EP study was performed, the - ANSWER -33228
right ventricular pacing and recording, and left Rationale: CPT® guidelines state "When the
atrial pacing and recording from the coronary battery of a pacemaker is changed, it is actually
sinus or left atrium were not done. The the pulse generator that is changed." It is
components must be billed separately. Look in reported with one code. In the CPT® Index look
the CPT® Index for Electrophysiology Procedure for Pacemaker. This will direct you to see Cardiac
directing you to 93600-93660. The procedure Assist Devices. Look for Cardiac Assist
was performed in the hospital; therefore, modifier Devices/Pacemaker System/Replacement/Pulse
26 is appended to all the codes to report the Generator referring you to codes 33227-33229.
professional service. Code 33228 is reported for dual chamber (dual
lead system).
2/8
