Chapter 16 Cardiovascular systerm Med coding – Flashcards
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Pericardium
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Membranous sac enclosing the heart and ends of the great vessels
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Cardiopulmonary
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refers to the heart and lungs
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Bypass
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To go around
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Pacemaker
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Electrical device that controls the beating of the heart by electrical impulses
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Single-chamber device
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Electrode of the pacemaker is placed only in the atrium or only in the ventricle, but not in both places
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Dual-chamber device
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Electrodes of the pacemaker are placed in both the atrium and the ventricle of the heart
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Electrode
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Lead attached to a generator that carries the electrical current from the generator that carries to the atria or ventricles
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Ventricle
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Chamber in the lower part of the heart
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Atrium
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Chamber in the upper part of the heart
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Cardioverter-defibrillator
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Surgically placed device that directs an electrical current shock to the heart to restore rhythm
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Artery
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Vessel that carries oxygenated blood from the heart to the body tissues
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Vein
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Vessel that carries unoxygenated blood to the heart from the body tissues
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Embolism
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Blockage of a blood vessel by a blood clot or other matter that has moved from another area of the body through the circulatory system
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Thrombosis
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Blood clot
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Endarterectomy
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Incision into an artery to remove the inner lining to remove the inner lining to remove disease of blockage
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Angioplasty
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Surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment of atherosclerotic disease
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Injection
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Forcing of fluid into a vessel or cavity
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Catheter
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Tube placed into to body to put fluid in or take fluid out
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Arteriovenous fistula
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Direct communication(passage) between an artery and vein
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Anomaly
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Abnormality
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Ischemia
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Deficient blood supply caused by obstruction of the circulatory system
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Cardiopulmonary bypass
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Blood bypasses the heart through a heart-lung machine during open heart surgery
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Fistula
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Abnormal opening from one area to another area within the body or to outside of the body
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Shunt
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Divert or make an artificial passage
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Intracardiac (internally) or external (externally)
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Codes for excision of cardiac tumors are divided based on whether the tumor is located__________or__________
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Pacemaker and cardioverter- defibrillator
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What are the names of two devices that are inserted into the body to electrically shock the heart into regular rhythm?
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78
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If the patient is returned to the operating room for repositioning or replacement of the pacemaker of cardioverter-defibrillator during the global period, modifier_____ would be appended to the code.
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no
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If a physician implanted a pacemaker and 10 days later the patient returns to the same surgeon for removal of sutures, would you charge for the service?
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yes
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If a patient is seen for a rash on the heel of the foot by the same physician who implanted a pacemaker 20 days earlier, would you bill for the office service for the rash?
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epicardial and transvenous
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The two approaches used to insert devices that electrically shock the heart into regular rhythm are
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24
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When you bill for E/M services unrelated to a pacemaker implantation during the allowable follow-up days, what modifier would you use on the code to alert the third-party payer?
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Aortic, Mitral, Tricuspid, and Pulmonary
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What are the four cardiac valves?
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Patient activated event recorder
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What is the name of the device that can be surgically implanted into the subcutaneous tissue in the upper left quadrant to record heart rhythms when the patient depresses a button?
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Coronary
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What arteries feed the heart?
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reversible
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When a heart artery is clogged and the heart muscle performs at a low level as a result of a lack of blood, the condition is called_________ ischemia.
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irreversible
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When a heart artery is clogged and the heart muscle dies, the condition is called________ischemia.
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Embolus
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A mass of undissolved matter in the blood that is transported by the blood current is a (a) ______.
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Contrast material
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Local anesthesia, catheter introduction, and injection of ___________ _____________ are procedures that are included in a vascular injection.
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Heart/Pericardium and Arteries and Veins
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What are the two subheadings within the Cardiovascular System subsection?
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Cardiology
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The subspecialty of internal medicine that is concerned with the diagnosis and treatment of the heart is_____________
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Surgery ,Medicine, and Radiology
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In Chapter 16 you learned about coding from which three sections of the CPT?
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Invasive
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Procedures that break the skin for correction of examination are known as _________ procedures.
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noninvasive
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Procedures that do not break the skin are known as _______ procedures.
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Electrophysiology
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The study of the heart's electrical system is known as_________________
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Selective
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A catheter that is inserted into an artery and manipulated to a further order is termed__________
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non selective
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A catheter that is inserted into an artery and not manipulated to a further order is termed_________placement.
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Percutaneously
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Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and __________________.
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saphenous vein graft
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According to the CPT manual notes for bypass grafts, which of the following procurements is bundled in the bypass?
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CABG
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What is the acronym commonly used for coronary artery bypass graft?
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L
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Which CPT Appendix would be a helpful resource for selective vascular coding?
