Cardiovascular System
WHAT IS CARDIO AND RESPIRATORY ?
The cardiovascular system is sometimes called the blood-vascular, or simply the circulatory, system. It consists of the heart, which is a muscular pumping device, and a closed system of vessels called arteries, veins, and capillaries.The respiratory system works with the circulatory system to provide this oxygen and to remove the waste products of metabolism. It also helps to regulate pH of the blood.
KEY NOTES
1.Pacemakers and Defibrillators
2.Arterial and Venous grafts.
3.Location of scope.
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Cardiovascular System
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Question 1 |
Dr. Sacra performed a CABG surgery on Fred five months ago. Today, Dr. Sacra completed another coronary artery bypass using three venous grafts with harvesting of a femoropopliteal vein segment. How would Dr. Sacra report her work for the current surgery?
A | 33512, 33530-51, 35572-51 |
B | 33535, 35500-51, 33519 |
C | 33512, 33530, 35572 |
D | 33535, 33519, 33530-51, 35500 |
Question 1 Explanation:
The code 33530 and 35572 are add-on codes and should not have modifier -51 appended. Review modifier -51 in Appendix A of the CPT Professional Edition for this note.
Question 2 |
Roger had a rhinoplasty to correct damage caused by a broken nose. One year later he had a secondary rhinoplasty with major revisions. At the end of the second surgery the incisions were closed with a single layer technique. How would you report the second procedure?
A | 30450 |
B | 30450-78 |
C | 30420, 12014 |
D | 30430, 12014-59 |
Question 2 Explanation:
This is a secondary rhinoplasty with major revision. The closure is bundled with the surgical procedure. Modifier -78 isn’t required because the second service was not performed
within the postoperative period. Generally, the maximum postoperative period is no more than
90 days.
Question 3 |
What code would you report for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy?
A | 39010 |
B | 39000 |
C | 39200 |
D | 39400 |
Question 3 Explanation:
Code 39000 is a cervical approach, code 39010 reports a transthoracic approach.
Question 4 |
A surgeon started with a diagnostic thoracoscopy. During the same surgical session she completed a surgical thoracoscopy to control a hemorrhage. How would you report this
procedure?
A | 32601 |
B | 32601, 32654-59 |
C | 32500 |
D | 32654 |
Question 4 Explanation:
A surgical thorascopy always includes a diagnostic thorascopy. You can find this note in the CPT Professional Edition under the Endoscopy heading
Question 5 |
The patient is a fifty-eight-year-old white male, one month status post pneumonectomy. He had a post pneumonectomy empyema treated with a tunneled cuffed pleural catheter
which has been draining the cavity for one month with clear drainage. He has had no evidence of a block or pleural fistula. Therefore a planned return to surgery results in the removal of the catheter. The correct CPT code is:
A | 32440-78 |
B | 32035-58 |
C | 32036-79 |
D | 32552-58 |
Question 5 Explanation:
It is a staged procedure for the main surgery ,where have to assign modifier 58,for the removal of catheter.
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