Chapter 13 Worksheet Code It

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1 Class: Date: Chapter 13 Worksheet Code It True/False Indicate whether the statement is true or false. 1. A cardiac catheterization diverts blood from the heart to the aorta. 2. Selective vascular catheterization is the insertion of a catheter into the heart. 3. The right common carotid artery is a first-order vessel. 4. Pericardiectomy is a treatment for chronic pericarditis. 5. The majority of cardiac tumors are benign. 6. A dual-chamber pacemaker contains two electrodes one electrode placed in the atrium and one electrode placed in the chamber. 7. Cardiopulmonary bypass is often done during cardiovascular procedures to divert blood from the heart to the aorta. 8. A human heart has three valves. 9. A valvulotomy is performed using an endoscope instrument. 10. Tetralogy of Fallot is an acquired heart condition. 11. Cold preservation is a component of backbench preparation that is performed by a physician during heart transplant surgery. 12. Lymph is composed of blood and chyle. 13. There are six areas of lymph nodes in the human body. 14. There are two types of bone marrow and three types of stem cells. 15. Stromal stem cells produce blood, fat, and bone. 16. Lymph nodes function to remove cell waste. 17. Visceral arteries supply blood to the liver, spleen, and intestines. 18. A vascular family is a group of capillaries supplied by the same branch from the aorta. 19. Notes located beneath headings and subheadings in a CPT section apply to all codes throughout the section. 20. Electrophysiology is the study of heart anatomy. Completion Complete each statement. 21. Operative tissue ablation and reconstruction of atria, limited (e.g., modified maze procedure). Assign code(s). 22. Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture. Assign code(s). 1

2 23. Selective catheter placement, arterial system, initial third order or more selective thoracic or brachiocephalic branch, within a vascular family. Assign code(s). 24. Transfusion, intrauterine, fetal with radiological supervision and interpretation. Assign code(s). 25. Insertion of cannulas for prolonged extracorporeal circulation membrane oxygenation (ECMO). Assign code(s). 26. Placement of needle for intraosseous infusion. Assign code(s). 27. Transcatheter retrieval, percutaneous, of intravascular foreign body. Assign code(s). 28. Upgrade of implanted pacemaker, conversion of single-chamber system to dual-chamber system. Assign code(s). 29. Valvuloplasty, aortic valve, open with inflow occlusion. Assign code(s). 30. Norwood procedure. Assign code(s). 31. Ligation, division, and stripping, short saphenous vein, bilateral. Assign code(s). 32. Transplant preparation of hematopoietic progenitor cells, thawing of previously frozen harvest, without washing, per donor. Assign code(s). 33. Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft. Assign code(s). 34. Suture repair of aorta or great vessels with cardiopulmonary bypass. Assign code(s). 35. Repair of double outlet right ventricle with intraventricular tunnel repair. Assign code(s). 36. Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass. Assign code(s). 37. Laparoscopy, surgical, splenectomy. Assign code(s). 38. Excision of cystic hygroma, axillary or cervical, with deep neurovascular dissection. Assign code(s). 39. Limited lymphadenectomy for staging (separate procedure), pelvic and para-aortic. Assign code(s). 40. Resection, diaphragm,with complex repair (e.g., prosthetic material, local muscle flap). Assign code(s). Short Answer 41. List the two components of a pacemaker. 42. List the two types of pacemakers. 43. List the conditions treated by a modified Maze procedure. 44. List examples of valvular heart disease. 45. List the valves of the heart. 46. Define the term commissurotomy. 47. List the benefits of using a stentless valve. 48. A patient is diagnosed with an arteriovenous (AV) fistula. List the two ways this could have occurred. 2

3 49. To correctly assign a CPT code for CABG surgery, what information needs to be located in the operative report? 50. List the defects that comprise the condition tetralogy of Fallot. 51. What surgery is performed to remove the inner layer of coronary arteries that contain cholesterol plaques? 52. What type of modifiers identify placement of bypass grafts and are added to the CABG procedure codes? 53. What surgery is performed to remove plaque from inside a blood vessel? 54. Which modifier is added to a CPT surgery code to indicate that a procedure or service performed on a patient represents a return to the operating room for a related surgical event during the postoperative period? 55. A patient has a catheter introduced into the aorta, and the catheter is repositioned three times. How many times is CPT code reported? 56. List the two types of stem cells present in bone marrow. 57. CPT code is reported to reflect a modified radical neck dissection, which preserves what type of structures? 58. CPT codes describe the limited excision of lymph nodes for what purpose? 59. List the components of lymph. 60. What is bone marrow? Multiple Choice Identi.b, the choice that best completes the statement or answers the question. 61. Removal of a patient's spleen performed via laparoscopy. Report code a c b d A patient presents with tricuspid valve regurgitation and undergoes repair of the valve, which requires use of a ring. Report code a c b d A patient undergoes platelet apheresis and is discharged after the platelets are retransfused. Report code a c b d A 15-year-old patient underwent the insertion of a PICC line. Report code a c b d Charles Joseph, a 2-day-old infant weighing just 3 kg, underwent a blood transfusion. Report code a c b d A patient diagnosed with chronic pericarditis presents for complete removal of the pericardium, which is performed under cardiopulmonary bypass. Report code a c b d

4 67. A patient underwent insertion of pacemaker, pulse generator only; with ezisting single lead. Report code(s) a b c , d , Repair of truncus arteriosus, 5-day-old male infant. Report code a c b d Ligation and stripping of bilateral short saphenous veins and ligation of long saphenous veins from the saphenofemoral junction to the knee of the left leg. Report code(s) a c , LT b RT-LT d Allogenic stem cell transplant. Report code a c b d Repositioning of implanted transvenous pacemaker electrode was performed on May 6. Pacemaker was originally implanted on April 2. Report code(s) a c , b d , Vein graft repair of blood vessel, right arm. Report code a RT c RT b RT d RT 73. Percutaneous transluminal balloon angioplasty of aortic artery. Report code a c b d Total removal of bilateral lymph nodes from pelvic region performed using laparoscope. Report code a c b d A patient underwent bone marrow harvesting today prior to scheduled chemotherapy treatment for lymphoma. Chemotherapy will be performed tomorrow. Report code a c b d Cutdown of vein for venipuncture, 55-year-old male patient. Report code a c b d Portal vein catheterization followed by insertion of transvenous intrahepatic portosystemic shunt. Report code(s) a c , b d , Max Wilcox underwent a thoracotomy to implant a patient-activated cardiac event recorder. Report code(s) a c , b d ,

5 79. Liza Mills was diagnosed at birth with atresia of her tricuspid valve. Liza is now 3 years old, and today she underwent tricuspid valve repair, which involved closure of the atrial septal defect and anastomosis of the vena cava to the pulmonary artery. Report code a c b d A patient underwent coronary artery bypass graft, three venous vessels. This is a repeat CABG because the patient previously underwent CABG surgery 5 years ago during which two coronary venous grafts were performed. Report code(s) a c , b d , Matching Match each procedure or device with its abbreviation below. a. PCD d. PTMR b. CABG e. PTA c. VAD f. PMR 81. percutaneous myocardial revascularization 82. coronary artery bypass graft 83. percutaneous transmyocardial laser revascularization 84. percutaneous transluminal angioplasty 85. ventricular device 86. pacing cardioverter-defibrillator Match each procedure with a CPT code below. a b c d e f Removal of single or dual chamber pacing cardioverter-defibrillator electrode(s) by thoracotomy 88. Patient comes in for a repair of atrial septal defect with cardiopulmonary bypass with patch 89. Valvotomy pulmonary value, closed heart transventricular 90. Patient comes in to have a repair of a congenital arteriovenous fistula of the neck 91. A patient fell and ruptured his spleen. The provider did a total splenectomy 92. Patient comes in for a coronary artery bypass, using a single arterial graft 5

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