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1. The conduction system contains pacemaker cells, Purkinje fibers and bundle of
nodes, the ____ and the ____. His
Rationale: The conduction
system contains pacemaker
cells, nodes, the bundle of
His and the Purkinje fibers.
2. ____ is a term standing for enlargement of the heart. Cardiomegaly
Rationale: Cardio = heart,
megaly = enlargement
3. How many layers of tissue does an artery have? Three
Rationale: Look in the
CPT® Index for Venous Ac-
cess Device/Insertion/Cen-
tral which directs the coder
to 36560-36566. The code
for insertion of a tunneled
central venous access device
with a subcutaneous pump
is 36563.
4. Repair of coronary vessel is called: Angioplasty
Rationale: Angio = vessel,
plasty = repair
5. A patient in the ED was found to have a ruptured 35103
abdominal aortic aneurysm. He was taken to emer-
gency surgery; a physician performed a direct re- Rationale: You must read
, CPC Chapter 10 Review Exam
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pair. The physician documented that the aneurysm the question carefully be-
involved the common iliac. Select the proper CPT® cause this is a ruptured aor-
code for this procedure. tic aneurysm involving the
common iliac not a ruptured
aneurysm of the common il-
iac. Look in the CPT® Index
for Aneurysm Repair/Ab-
dominal Aorta which directs
you to multiple codes. On
review of the code ranges,
code 35103 is correct. Code
35102 is a repair of an
aneurysm not ruptured.
6. Due to infections from hemodialysis, the physician 33244, 33202-51, 33264-51,
replaces a dual chamber implantable defibrillator 33223-59
system with a multi-lead system with an epicardial
lead and transvenous dual chamber lead defibrillator Rationale: When a new
system. The original dual leads are extracted trans- system is placed after
venously. The generator pocket is relocated. What removal of an old system,
CPT® codes are reported? report the codes for removal
of the components and
insertion of the new system.
This is a transvenous system.
The removal of the dual
chamber implantable
defibrillator electrodes is
reported with 33244. Look in
the CPT® Index for Cardiac
Assist Devices/Implantable
Defibrillators/Transvenous
Implantable Pacing
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Defibrillator
(ICD)/Removal/Electrodes
referring you to 33244. The
insertion of the epicardial
electrode is reported with
33202. In the CPT® Index
look for Cardiac Assist
Device/Implantable
Defibrillators/Transvenous
Implantable Pacing
Defibrillator (ICD)/
Insertion/Electrode
referring you to
33202-33203,
33216-33217,33224-33225.
The dual defibrillator
generator was replaced with
a multi-lead defibrillator
generator 33264. Look in
the CPT ® Index for Cardiac
Assist Devices/ Transvenous
Implantable Pacing
Defibrillator (ICD)/
Replacement, Pulse
Generator referring you to
33262-33264. Code 33264
describes the removal and
replacement of an
implantable defibrillator
pulse generator. Two leads
were replaced. Look in the
CPT® Index for Cardiac