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Cardiovascular System

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Congratulations - you have completed Cardiovascular System. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%

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Question 1

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 1 Explanation:

It is a staged procedure for the main surgery ,where have to assign modifier 58,for the removal of catheter.

Question 2

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 2 Explanation:

Code 39000 is a cervical approach, code 39010 reports a transthoracic approach.

Question 3

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 3 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 4

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 4 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 5

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 5 Explanation:

A surgical thorascopy always includes a diagnostic thorascopy. You can find this note in the CPT Professional Edition under the Endoscopy heading

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Cardiovascular System

WHAT IS CARDIO AND RESPIRATORY ?

KEY NOTES

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Cardiovascular System

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TEST 1- 10 Questions(25 minutes)
TEST 2 -15 Questions(30 minutes)
TEST 3-30 Questions(60 minutes)
TEST 4 -30 Questions(60 minutes)
TEST 5 -40 Questions(60 minutes)

Cardiovascular System

WHAT IS CARDIO AND RESPIRATORY ?

KEY NOTES

Test yourself

Take Demo Test

Cardiovascular System

Register Users

TEST 1- 10 Questions(25 minutes) TEST 2 -15 Questions(30 minutes) TEST 3-30 Questions(60 minutes) TEST 4 -30 Questions(60 minutes) TEST 5 -40 Questions(60 minutes)

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TEST 1- 10 Questions(25 minutes)
TEST 2 -15 Questions(30 minutes)
TEST 3-30 Questions(60 minutes)
TEST 4 -30 Questions(60 minutes)
TEST 5 -40 Questions(60 minutes)