1. A 66 yrs old
male patient is brought to the operating room for pacemaker placement. The
Cardiologist inserted two leads via a subclavian vein and the electrodes are
placed in the right atrial and another one in the right ventricle. Both the
leads are connected with the generator. he created a skin pocket in the right
side of chest below the clavicle to keep the pulse generator. Finally closed
all the area with sterile technique. The patient tolerated the procedure well and
transferred to the designated area in stable condition, Assign the appropriate
CPT codes for this procedure?
A. 33208, 33202 - 51
B. 33206
C.
33208
D. 33213, 33217 - 51
2. 73 yrs old
male patient is brought to the operating room for a CABG procedure. Following
general anesthesia a median Sternotomy incision is made and cardiopulmonary
bypass is initiated. The saphenous vein is harvested from his right leg. The
two vein graft was prepared. Two bypasses are performed using the vein graft
(one to the right posterior descending and one for the marginal artery). Proximal
and distal anastomoses are looking good. A branch of the subclavian artery is
brought down to the left circumflex and anastomosed. The patient was warmed and
weaned from the cardiopulmonary bypass and the incision site was closed in
layers in the usual fashion. The leg incision site was closed as well. Sterile
dressings were applied and the patient is transferred to the Coronary intensive
care unit in stable condition. Assign
the appropriate CPT codes for this service?
A. 33511
B.
33533, 33518
C. 33533, 33511
D. 33533, 33518,
35500
3. A 58 yrs old patient is brought to the operating room for Angiography procedure, Access: The right femoral artery, Catheter advanced into aorta images were taken following
dye, Images reveals normal anatomy, Catheter was manipulated into the celiac
trunk and dye was injected and an angiogram was performed images shows patent
artery, then catheter moved to common hepatic artery, the dye was injected and
images were taken it shows 40% stenosis of the vessel. Assign the appropriate
CPT codes for this service?
A.
36246, 75726
– 26, 75774 - 26
B. 36246, 75726 – 26
C. 36246, 36248, 75726 – 26
D. 36245, 36246, 75726 – 26, 75774 – 26
4. A 55 yrs female
patient with h/o breast cancer requires a port-A-cath for the administration of
anti-neoplastic drugs for long term treatment schedule. At the patient’s
bedside in the hospital, using ultrasound guidance right Subclavian vein was
located and a needle and a guidewire placed. A transverse incision was made
just inferior to this and a subcutaneous pocket was created. After tunnelling,
the introducer was placed over the guidewire and the power port line was
placed with the introducer and the introducer was peeled away. The tip of
the catheter was placed in the right atrium under fluoroscopic guidance and the
catheter connected to the power port device. The locking mechanism was fully
engaged. The port was placed in the subcutaneous pocket. It was secured to the
underlying soft tissue with 2-0 silk stitch. What is the appropriate
CPT codes for the procedure performed?
A. 36571, 76937 - 26, 77001 – 26
B. 36571, 76937,
77001
C. 36560, 76942 - 26,
77001 – 26
D.
36561, 76937 - 26,
77001 – 26
5. A male (67 yrs ) patient is brought to the operation room for Re-vascular procedure. The patient is suffering from a severe atherosclerotic plague in his right anterior tibial and posterior tibial artery the physician is planned to place two stent in the vessels to restore the vascular flow. A catheter is advanced from right femoral artery to the right anterior tibial artery and an angiography confirms the stenosis, pre-dilation with a balloon is performed followed by placement of a bare-metal stent post angiography images show excellent results the same thing repeated in the posterior tibial artery. What are the appropriate CPT codes for the procedure performed?
A. 37230
B.
37230, 37234
C. 37231, 37234
D. 37230, 37232,
37234
6. A 71 yrs patient is brought to the operating room for Re-vascular procedure. The patient is suffering from severe stenosis in his left femoral and popliteal
artery. A catheter is advanced from the right side of the femoral artery in retrograde
fashion advanced into the left iliac system and moved to the left femoral artery,
angiography confirms the stenosis and Pre-dilation with a balloon is performed
followed by placement of a stent in the femoral artery. Post angiography images
show excellent results following that catheter is advanced to the popliteal artery
crossing the stenosis a stent was deployed, post images show good results.
What are the appropriate CPT codes for the procedure performed?
A. 37230, 37234
B. 37226, 37226 – 59
C. 37226, 37224 – 59
D.
37226
7. A patient
with severe occlusive disease in the inferior mesenteric artery was brought to
the operating room to undergo percutaneous transluminal Thrombectomy and stent
placement, a catheter is advanced from right femoral artery to aorta,
aortography images show patent vessel and the catheter is moved into inferior
mesenteric artery at the site of occlusion the short segment of embolus was
removed followed by placement of a stent is performed successfully. Post images
show excellent results. What are the
appropriate CPT codes for the procedure performed?
A. 37238, 37184
B. 37236, 37184
C.
37236, 37286
D. 37221, 37286
8. A female patient
with vaginal bleed due to rupture of the aneurysm is here for vascular
embolization procedure. via the right femoral artery, the catheter is advanced into
the internal iliac artery and further advanced into its branches and
embolization coils are placed in the distal, beyond third-order branch of the iliac
vascular family, follow up images shows cessation of the bleeding and occlusion
of the vessel. What are the appropriate CPT codes for the procedure performed?
A.
37244
B. 37242
C. 37244, 37244
– 59
D. 37242, 37244
– 59
9. A 69 yrs
Female patient with bilateral leg swelling is admitted in the hospital, after
sterile prep and drape the physician inject dye into the webbing between the
first and second toes on each foot. The physician selects one of the larger
lymphatic channels and numb the area. He made a small incision and then inserts
a tube into the channel; this process was repeated on the other foot. Once both
tubes are in place more contrast was slowly injected. Fluoroscopic images were
taken and it shows stenosis on either side. How would you report the physician’s
service?
A.
38790 – 50,
75803 – 26
B. 38790, 75803 – 26
C. 38790 – 50,
75803
D. 38790, 75801 – 26
10. 47yrs male patient is suffering from prostate cancer is here to
undergo a biopsy of axillary lymph nodes due to abnormal enlargement of right
axillary lymph nodes. After sterile prep and drape following local anesthesia the
physician insert 16 gauge needles under CT guidance to take 3
samples from three axillary lymph nodes and sent all samples to pathology. How
would you report the physician’s service?
A. 38525
B. 38525 x 3
C.
38505, 77012 – 26
D. 38505 x 3, 77012 – 26
_________________________________________________________
Answers:
1. C
2. B
3. A
4. D
5. B
6. D
7. C
8. A
9. A
10. C