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AAPC CPC CHAPTER 10 OFFICIAL EXAM
QUESTIONS WITH ANSWERS.
Catheter advanced from the right femoral vein into the left and
right pulmonary artery. The catheter was further negotiated into
the right lung lower lobe. Pulmonary angiography performed in all
locations including radiologic supervision and interpretation.
A) 36015-RT, 36014-59-LT, 75743-26, 75774-26
B) 36015, 36014-59, 75741-26, 75741-59
C) 36015-50, 36014, 75743-26
D) 36014-50, 75741, 75774-26 - correct answer -A
The cardiologist advances a 6 French catheter into the left renal
artery via a right common femoral puncture. It is selectively
catheterized and angiographic films are taken. The catheter was
then removed and a diagnostic guiding type, RDC catheter was
used and the left renal artery was selectively engaged. A 0.014
Supracore wire was used and the lesion was crossed. A 6.0 X 18
mm balloon expandable Racer stent was introduced. This was
expanded around 8 atmospheres of pressure which is nominal.
Angiography revealed excellent results with no residual stenosis.
A) 36245-LT, 36251, 37236
B) 36245-LT, 37236
C) 36245-LT, 75625-26, 37236
D) 36246-LT, 37236 - correct answer -B
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MAZE procedure is performed on a patient with atrial fibrillation.
The physician isolates and ablates the electric paths of the
pulmonary veins in the left atrium, the right atrium and the
atrioventricular annulus while on cardiopulmonary bypass.
A) 33254
B) 33259
C) 33255
D) 33256 - correct answer -D
Preoperative Diagnosis: Coronary artery disease associated with
congestive heart failure. In addition, the patient has diabetes and
massive obesity.
Postoperative Diagnosis: Same
Anesthesia: General endotracheal
Incision: Median sternotomy
Indications: The patient had presented with severe congestive
heart failure associated with her severe diabetes. She had
significant coronary artery disease, consisting of a chronically
occluded right coronary artery but a very important large obtuse
marginal artery coming off as the main circumflex system.
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She also has a left anterior descending artery which has
moderate disease and this supplies quite a bit of collateral to her
right system. The decision was therefore made to perform a
coronary artery bypass grafting procedure particularly because
she is so symptomatic. The patient was brought to the operating
room.
Description of Procedure: The patient was brought to the o -
correct answer -C
A patient presents for extremity venous study. Complete
noninvasive physiologic studies of both lower extremities were
performed. Which CPT® code is reported?
A) 93970
B) 93922
C) 93923
D) 93970-50 - correct answer -A
A patient is brought to the operating suite when she experiences
a large output of blood in her chest tubes post CABG. The
physician performing the original CABG yesterday is concerned
about the post-operative bleeding. He explores the chest and
finds a leaking anastomosis site and he resutured.
A) 35761
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B) 35820-78
C) 35241
D) 35761-78 - correct answer -B
During an inpatient hospitalization, a patient who suffered
myocardial infarction had a combined right and left heart
catheterization. Access was achieved through the right femoral
artery and the right femoral vein. Selective catheterization of the
coronary arteries and selective catheterization of the left ventricle
were followed by injections of contrast and angiography. During
right heart catheterization, angiography of the right atrium was
performed. Imaging supervision, interpretation and report for all
angiography was performed during the cardiac catheterization.
Select the CPT® code(s) for this procedure by the cardiologist.
A) 93460, 93565
B) 93453-26,
C) 93460-26, 93566
D) 93460 - correct answer -C
CLINICAL SUMMARY: The patient is a 41 year-old female with
known coronary disease and recent recurrent chest pain, cardiac
catheterization demonstrated subtotal occlusion of the diagonal
artery at its takeoff from the left anterior descending artery.
AAPC CPC CHAPTER 10 OFFICIAL EXAM
QUESTIONS WITH ANSWERS.
Catheter advanced from the right femoral vein into the left and
right pulmonary artery. The catheter was further negotiated into
the right lung lower lobe. Pulmonary angiography performed in all
locations including radiologic supervision and interpretation.
A) 36015-RT, 36014-59-LT, 75743-26, 75774-26
B) 36015, 36014-59, 75741-26, 75741-59
C) 36015-50, 36014, 75743-26
D) 36014-50, 75741, 75774-26 - correct answer -A
The cardiologist advances a 6 French catheter into the left renal
artery via a right common femoral puncture. It is selectively
catheterized and angiographic films are taken. The catheter was
then removed and a diagnostic guiding type, RDC catheter was
used and the left renal artery was selectively engaged. A 0.014
Supracore wire was used and the lesion was crossed. A 6.0 X 18
mm balloon expandable Racer stent was introduced. This was
expanded around 8 atmospheres of pressure which is nominal.
Angiography revealed excellent results with no residual stenosis.
A) 36245-LT, 36251, 37236
B) 36245-LT, 37236
C) 36245-LT, 75625-26, 37236
D) 36246-LT, 37236 - correct answer -B
, Page | 2
MAZE procedure is performed on a patient with atrial fibrillation.
The physician isolates and ablates the electric paths of the
pulmonary veins in the left atrium, the right atrium and the
atrioventricular annulus while on cardiopulmonary bypass.
A) 33254
B) 33259
C) 33255
D) 33256 - correct answer -D
Preoperative Diagnosis: Coronary artery disease associated with
congestive heart failure. In addition, the patient has diabetes and
massive obesity.
Postoperative Diagnosis: Same
Anesthesia: General endotracheal
Incision: Median sternotomy
Indications: The patient had presented with severe congestive
heart failure associated with her severe diabetes. She had
significant coronary artery disease, consisting of a chronically
occluded right coronary artery but a very important large obtuse
marginal artery coming off as the main circumflex system.
, Page | 3
She also has a left anterior descending artery which has
moderate disease and this supplies quite a bit of collateral to her
right system. The decision was therefore made to perform a
coronary artery bypass grafting procedure particularly because
she is so symptomatic. The patient was brought to the operating
room.
Description of Procedure: The patient was brought to the o -
correct answer -C
A patient presents for extremity venous study. Complete
noninvasive physiologic studies of both lower extremities were
performed. Which CPT® code is reported?
A) 93970
B) 93922
C) 93923
D) 93970-50 - correct answer -A
A patient is brought to the operating suite when she experiences
a large output of blood in her chest tubes post CABG. The
physician performing the original CABG yesterday is concerned
about the post-operative bleeding. He explores the chest and
finds a leaking anastomosis site and he resutured.
A) 35761
, Page | 4
B) 35820-78
C) 35241
D) 35761-78 - correct answer -B
During an inpatient hospitalization, a patient who suffered
myocardial infarction had a combined right and left heart
catheterization. Access was achieved through the right femoral
artery and the right femoral vein. Selective catheterization of the
coronary arteries and selective catheterization of the left ventricle
were followed by injections of contrast and angiography. During
right heart catheterization, angiography of the right atrium was
performed. Imaging supervision, interpretation and report for all
angiography was performed during the cardiac catheterization.
Select the CPT® code(s) for this procedure by the cardiologist.
A) 93460, 93565
B) 93453-26,
C) 93460-26, 93566
D) 93460 - correct answer -C
CLINICAL SUMMARY: The patient is a 41 year-old female with
known coronary disease and recent recurrent chest pain, cardiac
catheterization demonstrated subtotal occlusion of the diagonal
artery at its takeoff from the left anterior descending artery.
