Chapter 20 Test Review
Question 1_4 out of 4 points
A patient with cardiac arrhythmia has a pacemaker system with electrodes in the atrium and ventricle. The patient visits his cardiologist for evaluation of the battery, leads, capture and sensing function, heart rhythm and programmed parameters of the system. What CPT® code is reported?
Selected Answer:
d. 93288
Correct Answer: d. 93288
Response Feedback: Rationale: In the CPT® Index look for Pacemaker, Heart/Evaluation and Programming/In Person and you are directed to 93261, 93279-93281, 93286, 93288, 93289. 93288 describes evaluation, analysis and report for single or dual chamber or multiple lead pacemakers. This patient has a dual chamber system with leads in both the atrium and ventricle.
Question 2_4 out of 4 points
A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending and in the first diagonal of the LD. What CPT® code(s) is/are reported?
Selected Answer:
d. 92920-LD, 92921-LD
Correct Answer: d. 92920-LD, 92921-LD
Response Feedback: Rationale: PTCA stands for percutaneous transluminal coronary angioplasty. In the CPT® Index look for PTCA and you are directed to see Percutaneous Transluminal Angioplasty. Under Percutaneous Transluminal Angioplasty/Artery/Coronary you are directed to code range 92920-
92921. Code 92920 is used for the main coronary artery which is the left anterior descending. The add-on code 92921 is used to report the PTCA to a branch off of the left anterior descending
– the first diagonal.
Question 3_4 out of 4 points
A new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibration and cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for this service?
Selected Answer:
b. 94667
Correct Answer: b. 94667
Response Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest Wall or Feedback: Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct code since it includes the patient’s first time, and it includes the evaluation.
Question 4_4 out of 4 points
A patient was brought to the emergency department in cardiac arrest. The physician immediately initiated CPR. What CPT® code is reported for CPR?
Selected Answer:
c. 92950
Correct Answer: c. 92950
Response Feedback: Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which provides
artificial breathing and chest compressions for a person in cardiac arrest. In the CPT® Index you can look for either CPR or Cardiopulmonary Resuscitation or Resuscitation/Cardiopulmonary. All
indexed items direct you to code 92950.
Question 5_4 out of 4 points
A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT® code is reported?
Selected Answer:
d. 95813
Correct Answer: d. 95813
Response Feedback: Rationale: In the CPT® Index look for EEG which directs you to Electroencephalography (EEG). Under Electroencephalography (EEG)/Monitoring you are directed to 95812-95813, 95950-
95953 and 95956. Code range 95812 – 95813 is based on time. Code 95813 describes an EEG (electroencephalogram), more than 1 hour. This patient had a 3-hour study which is reported with 95813.
Question 6_4 out of 4 points
A 70 year-old male presents with localized edema in his legs. He has hypertension and congestive heart failure and is currently on medication for both conditions. The provider ordered a complete venous duplex scan of his lower extremities. The femoral, superficial femoral, posterior tibial and popliteal veins were assessed. There was no evidence of thrombus. The study was normal. What CPT® and ICD-10-CM codes are reported?
Selected Answer:
d. 93970, R60.0, I11.0, I50.9
Correct Answer: d. 93970, R60.0, I11.0, I50.9 Response Feedback: Rationale: In the CPT® Index look for Duplex Scan/Venous Studies/Extremity and you are directed to code range 93970-93971. Code 93970 indicates a complete bilateral study. For the ICD-10-CM codes, since the study was normal, the symptoms indicating the test are reported. In the ICD-10-CM Alphabetic Index look for Edema/legs or Edema/localized which refer you to code R60.0. The hypertension and congestive heart failure has a causal relationship.
In the Alphabetic Index, look for Hypertension/heart/with/heart failure (congestive) referring you to I11.0. Instructional note in the Tabular List for I11.0 indicates to also identify the type of heart failure. Look for Failure, failed/heart/congestive and you are directed to I50.9. Verification in the Tabular List confirms code selections.
Question 7 _4 out of 4 points
A 5 week-old infant shows signs of fatigue after eating and has poor weight gain. He is suspected to have a congenital heart defect. The neonatologist ordered a transthoracic echocardiogram (TTE). TTE is showing a shunt between the right and left ventricles. The neonatologist read and interpreted the study and indicated the patient has a ventricular septal defect (VSD). What are the CPT® and ICD-10-CM codes for the TTE read?
Selected Answer:
a. 93303-26, Q21.0
Correct Answer: a. 93303-26, Q21.0
Response Feedback: Rationale: In the CPT® Index look for Echocardiography/Transthoracic/Congenital Cardiac Anomalies which directs you to 93303, 93304. Code selection is based on whether it is a complete study, follow up or limited study. This is a complete study therefore code 93303 the correct code choice. Since we are only reporting reading and interpretation of the report, a modifier 26 is appended. In ICD-10-CM Alphabetic Index look for Defect, defective/ventricular septal and you are directed to Q21.0. Verification in the Tabular List confirms code selection.
Question 8_4 out of 4 points
A baby was born with a ventricular septal defect (VSD). The provider performed a right heart catheterization and transcatheter closure with implant by percutaneous approach. What codes are reported?
Selected Answer:
b. 93581, Q21.0
Correct Answer: b. 93581, Q21.0
Response Feedback: Rationale: In the CPT® Index look for Septal Defect/Closure/Ventricular you are directed to codes 33647, 33675-33688, 93581. Reading the descriptions code 93581 describes percutaneous transcatheter closure of a congenital ventricular septal defect using an implant. There is a parenthetical note under code 93581 stating that the right heart catheterization is included in this procedure and not to report code 93530 with code 93581.
VSD is a congenital condition (present at birth). In the ICD-10-CM Alphabetic Index look for Defect/ventricular septal and you are directed to Q21.0. Verification in the Tabular List confirms
code selection.
Question 1_4 out of 4 points
A patient with cardiac arrhythmia has a pacemaker system with electrodes in the atrium and ventricle. The patient visits his cardiologist for evaluation of the battery, leads, capture and sensing function, heart rhythm and programmed parameters of the system. What CPT® code is reported?
Selected Answer:
d. 93288
Correct Answer: d. 93288
Response Feedback: Rationale: In the CPT® Index look for Pacemaker, Heart/Evaluation and Programming/In Person and you are directed to 93261, 93279-93281, 93286, 93288, 93289. 93288 describes evaluation, analysis and report for single or dual chamber or multiple lead pacemakers. This patient has a dual chamber system with leads in both the atrium and ventricle.
Question 2_4 out of 4 points
A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending and in the first diagonal of the LD. What CPT® code(s) is/are reported?
Selected Answer:
d. 92920-LD, 92921-LD
Correct Answer: d. 92920-LD, 92921-LD
Response Feedback: Rationale: PTCA stands for percutaneous transluminal coronary angioplasty. In the CPT® Index look for PTCA and you are directed to see Percutaneous Transluminal Angioplasty. Under Percutaneous Transluminal Angioplasty/Artery/Coronary you are directed to code range 92920-
92921. Code 92920 is used for the main coronary artery which is the left anterior descending. The add-on code 92921 is used to report the PTCA to a branch off of the left anterior descending
– the first diagonal.
Question 3_4 out of 4 points
A new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibration and cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for this service?
Selected Answer:
b. 94667
Correct Answer: b. 94667
Response Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest Wall or Feedback: Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct code since it includes the patient’s first time, and it includes the evaluation.
Question 4_4 out of 4 points
A patient was brought to the emergency department in cardiac arrest. The physician immediately initiated CPR. What CPT® code is reported for CPR?
Selected Answer:
c. 92950
Correct Answer: c. 92950
Response Feedback: Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which provides
artificial breathing and chest compressions for a person in cardiac arrest. In the CPT® Index you can look for either CPR or Cardiopulmonary Resuscitation or Resuscitation/Cardiopulmonary. All
indexed items direct you to code 92950.
Question 5_4 out of 4 points
A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT® code is reported?
Selected Answer:
d. 95813
Correct Answer: d. 95813
Response Feedback: Rationale: In the CPT® Index look for EEG which directs you to Electroencephalography (EEG). Under Electroencephalography (EEG)/Monitoring you are directed to 95812-95813, 95950-
95953 and 95956. Code range 95812 – 95813 is based on time. Code 95813 describes an EEG (electroencephalogram), more than 1 hour. This patient had a 3-hour study which is reported with 95813.
Question 6_4 out of 4 points
A 70 year-old male presents with localized edema in his legs. He has hypertension and congestive heart failure and is currently on medication for both conditions. The provider ordered a complete venous duplex scan of his lower extremities. The femoral, superficial femoral, posterior tibial and popliteal veins were assessed. There was no evidence of thrombus. The study was normal. What CPT® and ICD-10-CM codes are reported?
Selected Answer:
d. 93970, R60.0, I11.0, I50.9
Correct Answer: d. 93970, R60.0, I11.0, I50.9 Response Feedback: Rationale: In the CPT® Index look for Duplex Scan/Venous Studies/Extremity and you are directed to code range 93970-93971. Code 93970 indicates a complete bilateral study. For the ICD-10-CM codes, since the study was normal, the symptoms indicating the test are reported. In the ICD-10-CM Alphabetic Index look for Edema/legs or Edema/localized which refer you to code R60.0. The hypertension and congestive heart failure has a causal relationship.
In the Alphabetic Index, look for Hypertension/heart/with/heart failure (congestive) referring you to I11.0. Instructional note in the Tabular List for I11.0 indicates to also identify the type of heart failure. Look for Failure, failed/heart/congestive and you are directed to I50.9. Verification in the Tabular List confirms code selections.
Question 7 _4 out of 4 points
A 5 week-old infant shows signs of fatigue after eating and has poor weight gain. He is suspected to have a congenital heart defect. The neonatologist ordered a transthoracic echocardiogram (TTE). TTE is showing a shunt between the right and left ventricles. The neonatologist read and interpreted the study and indicated the patient has a ventricular septal defect (VSD). What are the CPT® and ICD-10-CM codes for the TTE read?
Selected Answer:
a. 93303-26, Q21.0
Correct Answer: a. 93303-26, Q21.0
Response Feedback: Rationale: In the CPT® Index look for Echocardiography/Transthoracic/Congenital Cardiac Anomalies which directs you to 93303, 93304. Code selection is based on whether it is a complete study, follow up or limited study. This is a complete study therefore code 93303 the correct code choice. Since we are only reporting reading and interpretation of the report, a modifier 26 is appended. In ICD-10-CM Alphabetic Index look for Defect, defective/ventricular septal and you are directed to Q21.0. Verification in the Tabular List confirms code selection.
Question 8_4 out of 4 points
A baby was born with a ventricular septal defect (VSD). The provider performed a right heart catheterization and transcatheter closure with implant by percutaneous approach. What codes are reported?
Selected Answer:
b. 93581, Q21.0
Correct Answer: b. 93581, Q21.0
Response Feedback: Rationale: In the CPT® Index look for Septal Defect/Closure/Ventricular you are directed to codes 33647, 33675-33688, 93581. Reading the descriptions code 93581 describes percutaneous transcatheter closure of a congenital ventricular septal defect using an implant. There is a parenthetical note under code 93581 stating that the right heart catheterization is included in this procedure and not to report code 93530 with code 93581.
VSD is a congenital condition (present at birth). In the ICD-10-CM Alphabetic Index look for Defect/ventricular septal and you are directed to Q21.0. Verification in the Tabular List confirms
code selection.
