AAPC - Chapter 10 Review Exam with expert interventions (Guaranteed Success)
Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction.
The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the
correct ICD-10-CM code(s) for this condition? - answer Z51.89, I25.9
____ is a term standing for enlargement of the heart. - answer A. Cardiomegaly
Response Feedback: Rationale: Cardio = heart, megaly = enlargement
What part of the cardiovascular system is responsible for the one-way flow of blood through the
chambers of the heart? - answer Heart valves
Rationale: Heart valves are made of flaps (cusps/leaflets) opening and closing like one way
swinging doors, preventing blood from flowing back.
What is the term for the divider between the heart chamber walls? - answer Septum
Rationale: The heart is divided into right and left sides by a septum which is a muscular wall.
Which main coronary artery bifurcates into two smaller ones? - answer Left
Rationale: The left main coronary artery branches into two slightly smaller arteries: the left
anterior descending coronary artery and the left circumflex coronary artery.
A physician supervises a patient during a cardiac stress test performed at the hospital and writes
the interpretation and report. Which code(s) is/are reported for the physician NOT employed by
the hospital? - answer 93016, 93018
Rationale: The physician performed both professional components of the stress test in the
hospital setting. Look in the CPT® Index for Stress Tests/Cardiovascular and you are referred to
93015-93024. Modifier 26 is not required because these services are professional services.
, Which statement is TRUE regarding codes for hypertension and heart disease in ICD-10-CM? -
answer Hypertension and heart disease have an assumed causal relationship.
A patient presents to the outpatient surgery department for revision to his autogenous
radiocephalic fistula so he can continue his hemodialysis. What is the correct CPT® code? -
answer 36832
Physician changes the old battery to a new one on a patient's dual chamber permanent
pacemaker. What CPT® code(s) is/are reported? - answer 33228
Rationale: CPT® guidelines state "When the battery of a pacemaker is changed, it is actually the
pulse generator that is changed." It is reported with one code. In the CPT® Index look for
Pacemaker, Heart/Replacement/Pulse Generator and you are referred to 33227-33229. Code
33228 is reported for dual chamber (dual lead system).
In the cath lab a physician places a catheter in the aortic arch from a right femoral artery
puncture to perform an angiography. Fluoroscopic imaging is performed by the physician. What
CPT® code(s) is/are reported? - answer 36221
Rationale: The aorta is the trunk of the system, so this is a non-selective catheterization. Look in
the CPT® Index for Angiography/Cervicocerebral Arch. Only one code is reported for the
catheterization and fluoroscopic imaging which is code 36221.
Due to infections from hemodialysis, the physician replaces a dual chamber implantable
defibrillator system with a multi-lead system with an epicardial lead and transvenous dual
chamber lead defibrillator system. The original dual leads are extracted transvenously. The
generator pocket is relocated. What CPT® codes are reported? - answer 33244, 33202-51,
33264-51, 33223-59
Rationale: When a new system is placed after removal of an old system, report the codes for
removal of the components and insertion of the new system. The removal of the dual chamber
implantable defibrillator electrodes is reported with 33244. Look in the CPT® Index for
Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction.
The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the
correct ICD-10-CM code(s) for this condition? - answer Z51.89, I25.9
____ is a term standing for enlargement of the heart. - answer A. Cardiomegaly
Response Feedback: Rationale: Cardio = heart, megaly = enlargement
What part of the cardiovascular system is responsible for the one-way flow of blood through the
chambers of the heart? - answer Heart valves
Rationale: Heart valves are made of flaps (cusps/leaflets) opening and closing like one way
swinging doors, preventing blood from flowing back.
What is the term for the divider between the heart chamber walls? - answer Septum
Rationale: The heart is divided into right and left sides by a septum which is a muscular wall.
Which main coronary artery bifurcates into two smaller ones? - answer Left
Rationale: The left main coronary artery branches into two slightly smaller arteries: the left
anterior descending coronary artery and the left circumflex coronary artery.
A physician supervises a patient during a cardiac stress test performed at the hospital and writes
the interpretation and report. Which code(s) is/are reported for the physician NOT employed by
the hospital? - answer 93016, 93018
Rationale: The physician performed both professional components of the stress test in the
hospital setting. Look in the CPT® Index for Stress Tests/Cardiovascular and you are referred to
93015-93024. Modifier 26 is not required because these services are professional services.
, Which statement is TRUE regarding codes for hypertension and heart disease in ICD-10-CM? -
answer Hypertension and heart disease have an assumed causal relationship.
A patient presents to the outpatient surgery department for revision to his autogenous
radiocephalic fistula so he can continue his hemodialysis. What is the correct CPT® code? -
answer 36832
Physician changes the old battery to a new one on a patient's dual chamber permanent
pacemaker. What CPT® code(s) is/are reported? - answer 33228
Rationale: CPT® guidelines state "When the battery of a pacemaker is changed, it is actually the
pulse generator that is changed." It is reported with one code. In the CPT® Index look for
Pacemaker, Heart/Replacement/Pulse Generator and you are referred to 33227-33229. Code
33228 is reported for dual chamber (dual lead system).
In the cath lab a physician places a catheter in the aortic arch from a right femoral artery
puncture to perform an angiography. Fluoroscopic imaging is performed by the physician. What
CPT® code(s) is/are reported? - answer 36221
Rationale: The aorta is the trunk of the system, so this is a non-selective catheterization. Look in
the CPT® Index for Angiography/Cervicocerebral Arch. Only one code is reported for the
catheterization and fluoroscopic imaging which is code 36221.
Due to infections from hemodialysis, the physician replaces a dual chamber implantable
defibrillator system with a multi-lead system with an epicardial lead and transvenous dual
chamber lead defibrillator system. The original dual leads are extracted transvenously. The
generator pocket is relocated. What CPT® codes are reported? - answer 33244, 33202-51,
33264-51, 33223-59
Rationale: When a new system is placed after removal of an old system, report the codes for
removal of the components and insertion of the new system. The removal of the dual chamber
implantable defibrillator electrodes is reported with 33244. Look in the CPT® Index for
