WEEK 3 Coding Applications Test Essay

1374 Words Jan 19th, 2015 6 Pages
Question 1
Needs Grading

What is the code for a tunneled centrally inserted central venous catheter, without pump or port, in a 72-year-old patient?
CPT Code: ____________________

Selected Answer:
Correct Answer: 36558
Rationale: The coder should begin by locating the main term "Insertion" and then the subterm "Venous." After reviewingthe codes in the tabular list the coder should select 36558 because this is a "72 year old patient."

Question 2
Needs Grading

CPR (Cardiopulmonary resuscitation)
CPT code: _________________

Selected Answer:
Correct Answer: 92950
Rationale: The coder should refer to the CPT manual Index and reference the main term "Cardiopulmonary Resuscitation" and only one code is given.
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Question 7
Needs Grading

Use HCPCS Level II modifier w/ CPT code.
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-mm20 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The balloon was withdrawn, and angiography showed the vessel to be wide open with mild irregularities and less than 15% narrowing remaining.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.
CPT Code: __________,
Modifier: __________

Selected Answer:
Correct Answer:

Rationale: The coder should refer to the CPT manual index and locate the acronymn "PTCA" the coder is directed to see "Percutaneous Transluminal Angioplasty." After this is located the case states that the coronary artery is being repaired. The coder is given a code range of 92920-92924. After reviewing the code range in the CPT manual tabular list the coder should

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