Exam 9: Cardiology and Cardiovascular System

Short-term use

Patient is seen in preoperative testing for an EKG. Patient is scheduled for a cystocele repair 2 days from now. Patient has a strong cardiac history which consists of angioplasty and stent placement and hypertension. Which codes would appear on the facility bill?

Personal history indicates that a condition is past, the patient is no longer receiving treatment, and there is no potential for recurrence and no further monitoring is required.

Patient is to undergo chemotherapy and needs vascular access. Patient is a 47-year-old admitted for central insertion of central venous access with port. Assign the appropriate code(s).

A 70-year-old man is being seen in the cardiac rehab unit. He is status post open heart surgery for heart valve prosthesis due to mitral valve prolapse. Assign the appropriate code(s).

When coding hypertensive cerebrovascular disease, a code from the 401-438 code range is assigned first followed by an additional code for the hypertension type.

Heart failure is not coded in addition to hypertensive heart and renal disease.

The family trees for vessels are arterial, venous, pulmonary, portal, and ____________________.

____________________ is defibrillation forcing the patient's heart electrical impulses back into normal sinus rhythm.

Second and third order

While reading the medical record, you see the BP recordings at the last three visits were as follows: 120/95, 130/100, 140/100. What is the diagnosis code?

A patient is seen in a clinic for a blood pressure screening. During this encounter, the patient is prescribed Norvasc for his hypertension. Code V81.1 should be listed first followed by the code for hypertension.

ECG and EKG are the same test, and the names are used interchangeably.

When the physician lists hypertension and chronic renal failure, the conditions are reported with two separate codes unless the physician specifically states a cause-and-effect relationship.

While performing a transcatheter procedure, if the physician indicates a C-arm was used, an additional code for ____________________ is assigned.

Insertion of a single atrial chamber permanent pacemaker with insertion of the pulse generator and placement of electrode. Assign the appropriate code(s).

For transcatheter procedures, there are three components to the procedure. Likewise there are three codes required: catheter placement, therapeutic service, and ____________________.

Patient has ESRD and requires dialysis. An arteriovenous fistula is created in the right arm by direct anastomosis for long-term dialysis access. Assign the procedure code.

Catheter is guided to a blood vessel.

A 59-year-old man was found lying in the subway terminal. He had collapsed and was unresponsive. A passerby began CPR while waiting for an ambulance. He arrived in the ER asystole. Diagnosis was cardiopulmonary arrest probably secondary to an acute MI. Family is requesting an autopsy. Assign the appropriate code(s).