Question 1

Where can a coder find the correct codes for the diagnosis ischemic heart disease?

Accepted Answer

A)  Chapter 9, ICD-10-CM 
B)  Chapter 4, CPT 
C)  Chapter 6, ICD-10-CM 
D)  Chapter 3, CPT 
A)  Chapter 9, ICD-10-CM 
B)  Chapter 4, CPT 
C)  Chapter 6, ICD-10-CM 
D)  Chapter 3, CPT A

Question 2

Select the indication for which removal of the spleen is not typically performed:

Accepted Answer

A)  dialysis 
B)  enlargement that becomes destructive to platelets 
C)  means of diagnosing certain conditions 
D)  spontaneous rupture 
A)  dialysis 
B)  enlargement that becomes destructive to platelets 
C)  means of diagnosing certain conditions 
D)  spontaneous rupture A

Question 3

Of the following, select the answer that is not a known section of the heart that can be involved in an acute myocardial infarction:

Accepted Answer

A)  inferoposterior wall 
B)  supralateral wall 
C)  anterolateral wall 
D)  subendocardial wall 
A)  inferoposterior wall 
B)  supralateral wall 
C)  anterolateral wall 
D)  subendocardial wall B

Question 4

Blood is pumped away from the heart by the pulmonary artery to the lungs via the _____ system:

Accepted Answer

A)  pulmonary 
B)  systemic 
C)  cardiovascular 
D)  peripheral 
A)  pulmonary 
B)  systemic 
C)  cardiovascular 
D)  peripheral

Question 5

Lymph vessels:

Accepted Answer

A)  contain nutrients, fats, electrolytes, and cellular waste 
B)  produce T cells 
C)  are collections of tissue located along the lymph vessels 
D)  transport lymph fluids and merge into lymphatic ducts 
A)  contain nutrients, fats, electrolytes, and cellular waste 
B)  produce T cells 
C)  are collections of tissue located along the lymph vessels 
D)  transport lymph fluids and merge into lymphatic ducts

Question 6

This contains nutrients, fats, electrolytes, and cellular waste:

Accepted Answer

A)  lymph fluid 
B)  lymph vessels 
C)  lymph waste 
D)  lymph nodes 
A)  lymph fluid 
B)  lymph vessels 
C)  lymph waste 
D)  lymph nodes

Question 7

In which code range can a coder find procedure codes for services rendered on the heart and pericardium?

Accepted Answer

A)  33010-33507 
B)  33510-33622 
C)  33010-33999 
D)  33202-33622 
A)  33010-33507 
B)  33510-33622 
C)  33010-33999 
D)  33202-33622

Question 8

What is the outer layer of the heart-wall tissue?

Accepted Answer

A)  epicardium 
B)  endocardium 
C)  aorta 
D)  septum 
A)  epicardium 
B)  endocardium 
C)  aorta 
D)  septum

Question 9

Which of the following is not a further subdivision of the subcategory "Rheumatic fever with heart involvement"?

Accepted Answer

A)  acute rheumatic myocarditis 
B)  acute rheumatic angiocarditis 
C)  acute rheumatic endocarditis 
D)  acute rheumatic pericarditis 
A)  acute rheumatic myocarditis 
B)  acute rheumatic angiocarditis 
C)  acute rheumatic endocarditis 
D)  acute rheumatic pericarditis

Question 10

What is a common medical abbreviation for the condition "heart attack"?

Accepted Answer

A)  BMI 
B)  CVA 
C)  AMI 
D)  ITA 
A)  BMI 
B)  CVA 
C)  AMI 
D)  ITA

Question 11

What is the name of the procedure in which electrodes are placed directly on the chest to deliver a shock, in an effort to treat a cardiac arrhythmia:

Accepted Answer

A)  percutaneous transluminal coronary angioplasty 
B)  external cardioversion 
C)  angiography 
D)  endartectomy 
A)  percutaneous transluminal coronary angioplasty 
B)  external cardioversion 
C)  angiography 
D)  endartectomy

Question 12

The largest vein that carries de-oxygenated blood from the back, abdomen, and pelvis, and lower extremities of the body back to heart is the:

Accepted Answer

A)  superior vena cava 
B)  deep vein 
C)  tunica externa 
D)  inferior vena cava 
A)  superior vena cava 
B)  deep vein 
C)  tunica externa 
D)  inferior vena cava

Question 13

Select the correct definition of diastolic heart failure:

Accepted Answer

A)  the heart is unable to pump blood to the extremities and lungs, resulting in edema of these areas 
B)  the left side of the heart fails 
C)  the heart does not relax properly after contraction, resulting in decreased blood flow through the heart 
D)  contraction of the heart muscle does not pump blood adequately 
A)  the heart is unable to pump blood to the extremities and lungs, resulting in edema of these areas 
B)  the left side of the heart fails 
C)  the heart does not relax properly after contraction, resulting in decreased blood flow through the heart 
D)  contraction of the heart muscle does not pump blood adequately

Question 14

All of the following are common problems patients present with concerning the cardiovascular system except:

Accepted Answer

A)  bursitis 
B)  hypertension 
C)  edema 
D)  congestive heart failure 
A)  bursitis 
B)  hypertension 
C)  edema 
D)  congestive heart failure

Question 15

Smaller bunches of arteries are called:

Accepted Answer

A)  arterioles 
B)  aorta 
C)  superficial arteries 
D)  capillaries 
A)  arterioles 
B)  aorta 
C)  superficial arteries 
D)  capillaries

Question 16

Symptoms including bradycardia, fatigue, syncope, shortness of breath, confusion, and palpitations are all indications of what cardiac condition?

Accepted Answer

A)  arrhythmia 
B)  sick sinus syndrome 
C)  thrombus 
D)  hypertension 
A)  arrhythmia 
B)  sick sinus syndrome 
C)  thrombus 
D)  hypertension

Question 17

All of the following are components of malignant hypertension except:

Accepted Answer

A)  arterial pressure that is mildly elevated 
B)  severely elevated arterial pressure 
C)  possible hemorrhage of vessels 
D)  possible necrosis of organs such as eyes, heart, and kidneys 
A)  arterial pressure that is mildly elevated 
B)  severely elevated arterial pressure 
C)  possible hemorrhage of vessels 
D)  possible necrosis of organs such as eyes, heart, and kidneys

Question 18

Select the correct description for code I10 in ICD-10-CM:

Accepted Answer

A)  malignant hypertension 
B)  unspecified hypertension 
C)  essential primary hypertension 
D)  benign hypertension 
A)  malignant hypertension 
B)  unspecified hypertension 
C)  essential primary hypertension 
D)  benign hypertension

Question 19

Dr. Sellers actively assists in the identification of an optimal bone marrow donor for his patient. Cells from the donor are acquired and proper procedure is followed to transfer these cells to the patient. However, after receiving the first donation, it is evident the patient requires a second donation and transplant in another operative session on the same date of service. Dr. Sellers returns to the original donor and harvests an additional donation of cells. Select the appropriate code(s) to report Dr. Sellers' second set of harvesting services:

Accepted Answer

A)  None - the second set of harvesting services is included in the first reporting of 38204 
B)  38204-51, Management of recipient hematopoietic progenitor cell donor search and cell acquisition, Multiple Procedures 
C)  38204-78, Management of recipient hematopoietic progenitor cell donor search and cell acquisition, Unplanned return to the operating/procedure room by the same physician or another qualified health care professional following the initial procedure for a related procedure during the postoperative period 
D)  38204, Management of recipient hematopoietic progenitor cell donor search and cell acquisition 
A)  None - the second set of harvesting services is included in the first reporting of 38204 
B)  38204-51, Management of recipient hematopoietic progenitor cell donor search and cell acquisition, Multiple Procedures 
C)  38204-78, Management of recipient hematopoietic progenitor cell donor search and cell acquisition, Unplanned return to the operating/procedure room by the same physician or another qualified health care professional following the initial procedure for a related procedure during the postoperative period 
D)  38204, Management of recipient hematopoietic progenitor cell donor search and cell acquisition

Question 20

Subsection Cardiac Assist, (33967-33993) include all of the following procedures except:

Accepted Answer

A)  transthoracic insertion of a ventricular assist device 
B)  replacement of a ventricular assist device 
C)  percutaneous insertion of a ventricular assist device 
D)  abdominal insertion of a ventricular assist device 
A)  transthoracic insertion of a ventricular assist device 
B)  replacement of a ventricular assist device 
C)  percutaneous insertion of a ventricular assist device 
D)  abdominal insertion of a ventricular assist device

Exam 11: Surgery Section: Cardiovascular and Lymphatic Systems

Where can a coder find the correct codes for the diagnosis ischemic heart disease?

Select the indication for which removal of the spleen is not typically performed:

Of the following, select the answer that is not a known section of the heart that can be involved in an acute myocardial infarction:

Blood is pumped away from the heart by the pulmonary artery to the lungs via the _____ system:

Lymph vessels:

This contains nutrients, fats, electrolytes, and cellular waste:

In which code range can a coder find procedure codes for services rendered on the heart and pericardium?

What is the outer layer of the heart-wall tissue?

Which of the following is not a further subdivision of the subcategory "Rheumatic fever with heart involvement"?

What is a common medical abbreviation for the condition "heart attack"?

What is the name of the procedure in which electrodes are placed directly on the chest to deliver a shock, in an effort to treat a cardiac arrhythmia:

The largest vein that carries de-oxygenated blood from the back, abdomen, and pelvis, and lower extremities of the body back to heart is the:

Select the correct definition of diastolic heart failure:

All of the following are common problems patients present with concerning the cardiovascular system except:

Smaller bunches of arteries are called:

Symptoms including bradycardia, fatigue, syncope, shortness of breath, confusion, and palpitations are all indications of what cardiac condition?

All of the following are components of malignant hypertension except:

Select the correct description for code I10 in ICD-10-CM:

Subsection Cardiac Assist, (33967-33993) include all of the following procedures except:

The Certified Professional Coder

Foundations of ICD-10-CM

ICD-Specific Guidelines

Foundations of CPT

Evaluation and Management

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Fundamental Coding Guidelines

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Coding and Surgical Procedures

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