Cardiovascular questions & answers rated A+ 2023/2024
CardiovascularLaparoscopic splenectomy. - correct answer Code: 38120 Abdominal aortogram. The right groin was prepped and draped in the usual fashion. Selinger technique was used to enter the femoral artery. A 6-French sheath was placed. A pigtail catheter was introduced in the upper abdominal aorta, and an AP aortogram was done using the DSA cut film technique using 20 cc of Omnipause. Results: The abdominal aorta appears mildly irregular above and below the renal arteries, with no significant stenosis. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) - correct answer CPT Codes: (Surgery Code)36200, (Radiology Code) 75625-26 The physician repairs a large laceration of the diaphragm that occurred during a car accident from the seat belt the patient was wearing through a transabdominal approach. - correct answer Code: 39501 Mr. O'Brien presents to his cardiologist's office complaining of chest pain. Dr. McCoy, the cardiologist, decides to obtain a cardiovascular stress test. Because Dr. McCoy's office does not have the proper equipment to perform this test, he sends Mr. O'Brien to the hospital for the test. Dr. McCoy accompanies Mr. O'Brien and supervises the stress test as well as provides his interpretation and written report. Report Dr. McCoy's service. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) - correct answer CPT Codes: 93016, 93018 Right and left heart catheterization, selective coronary angiography, and left ventriculogram. The patient was prepped and draped in the usual sterile fashion and sedation was administered for a total of fentanyl, 25 mcg IV, and Versed, 0.5 mg IV. One percent lidocaine was infused in the right groin and a 7-French sheath was inserted in the right femoral artery. A 7-French Swan-Ganz catheter was advanced through the right heart chambers and into the pulmonary artery. After pulmonary capillary wedge pressure and pulmonary artery pressures were obtained, thermodilution cardiac outputs were measured. The Swan-Ganz catheter was then pulled back to the right heart chambers prior to removal. Selective coronary angiography was then performed. A 6-French JL4 catheter was used for selective angiography of the left coronary artery and right coronary artery. A 6-French pigtail catheter was used for RAO left ventriculogram using - correct answer Right and left heart catheterization CPT code: 93526-26 Injection procedure CPT code: 93543, 93545 Imaging supervision CPT code: 93555-26, 93556-26 Direct repair of aneurysm associated with occlusion of the vertebral artery. - correct answer CPT Code: 35005 Harvest of one segment of vein from upper arm for coronary artery bypass procedure. Code vein harvest only. - correct answer CPT Code: 35500 PTCA of left anterior descending coronary artery. A 6-French JL4 guiding catheter was used, and a 014 extra-support wire was passed through the LAD obstruction and "entered" the distal vessel. This was first dilated with a 3-mm 20 CrossSail balloon, subsequently with a 3.5 10 cutting balloon (arteriectasis). With the cutting balloon, there were four inflations at 6-7 atmospheres and up to 1-minute inflation times. The balloon was withdrawn, and angiography showed the vessel to be wide open with mild irregularities and less than 15% narrowing remaining. There was no distal embolism. There was no dissection noted. There was normal TIMI flow. The case was then terminated at this point and balloons, catheters, and wires were removed, and the patient was sent to her room in good condition. - correct answer CPT Code: 92982 Ambulatory blood pressure monitoring of 24 hours, using magnetic tape, including the recording, analysis, interpretation, and report. - correct answer CPT Code: 93784 Biopsy of a lymph node by fine needle aspiration without image guidance. - correct answer Code: 10021 Bone marrow biopsy by needle aspiration. - correct answer CPT Code: 38221 Left heart catheterization with coronary angiography and left ventriculogram. The right groin was prepped and draped in the usual fashion. Seldinger technique was used and a 6-French sheath was placed in the right femoral artery. A local anesthetic was used and sublingual nitroglycerin was given, no heparin was used. The left and right coronary arteries were selectively opacified in the LAO and RAO projections using manual injections of Optiray. A ventriculogram was done in the RAO projection with the use of a 6-French pigtail catheter. The catheters were then withdrawn,
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