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Surgical procedures in the Heart and Pericardium subheading contain procedures that are performed through both open surgical sites and ___________________.
Percutaneously
This term means entering the body:
Invasive
A cardiologist is a(n) _____________ medicine physician who has chosen to specialize in the diagnosis and treatment of conditions of the heart.
Internal
What three sections of the CPT will you often use to code cardiology services?
Medicine, Surgery, and Radiology
What type of cardiology enters the body -- breaks the skin -- to make a correction or for examination?
Interventional
What is the term that describes the study of the electrical system of the heart and includes the study of arrhythmias?
Electrophysiology
_______________ is an x-ray examination that enables the study of the patient's blood vessels and organs by injecting contrast media into the blood vessels and viewing the results on x-ray film.
Angiogram
Name the three main coronary arteries:
Right coronary, left anterior descending, and the left circumflex.
Which CPT Appendix would be a helpful resource for selective vascular coding?
L
What is the acronym commonly used for coronary artery bypass graft?
CABG
Membranous sac enclosing the heart and ends of the great vessels.
Pericardium
Refers to the heart and lungs.
 
Cardiopulmonary
To go around.
Bypass
Electrical device that controls the beating of the heart by electrical impulses.
Pacemaker
Electrode of the pagemaker is placed only in the atrium or only in the ventricle, but not in both places.
Single-chamber device
Electrodes of the pacemaker are palce in both the right atrium and the right ventricle of the heart.
Dual-chamber device
Lead attached to a generator that carries the electrical current from the generator to the atria or ventricles.
Electrode
Chamber in the lower part of the heart.
Ventricle
Chamber in the upper part of the heart,
Atrium
Surgically placed device that directs an electrical current shock to the heart to restore rhythm.
Cardioverter-defibrillator
Vessel that carries oxygenated blood from the heart to the body tissues,
Artery
Vessel that carries unoxygenated blood to the heart from body tissues,
Vein
A sac of clotted blood or fluid formed in the circulatory system (eg vein or artery)
Aneurysm
Blockage of a blood vessel by a blood clot or other matter that has moved from another area of the body through the circulatory system.
Embolism
Blood clot.
Thrombosis
Incision into an artery to remove the inner lining to remove disease or blockage.
Endarterectomy
Surgical or percutaneous procedure on a vessel to dilate the vessel open, used in treatment or atherosclerotic disease.
Angioplasty
Forcing of fluid into a vessel or cavity.
Injection
Tube placed into the body to put fluid in or take fluid out.
Catheter
Direct communication (passage) between an artery and vein.
Arteriovenous fistula
Abnormality
Anomaly
Deficient blood supply caused by obstruction of the circulatory system.
Ischemia
Blood bypasses the heart through a heart-lung machine during open heart surgery.
Cardiopulmonary bypass
Abnormal opening from one area to another area within the body or to outside of the body.
Fistula
Divert or make an artificial passage.
Shunt
The term that describes the procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted into the space is ____________.
Pericardiocentesis
Codes for excision of cardiac tumors are divided based on whether the tumor is located _____________ or ____________.
internally, externally
What are the names of two devices that are inserted into the body to electrically shock the heart into regular rhythm? (2)
Pacemaker and cardioverter-defibrillator
The two approaches used to insert devices that electrically shock the heart into regular rhythm are ____________ and ____________.
Epicardial, transvenous
If the patient is returned to the operating room for repositioning or replacement of the pacemaker or cardioverter-defibrillator during the global period, modifier ____ would be appended to the code.
78
If a physician implanted a pacemaker and 10 days later the patient returns to the same surgeon for removal of sutures, would you charge for the service? Why?
No, suture removal is bundled into the pacemaker procedure.
If a patient is seen for a rash on the heel of the foot by the same physician who implanted a pacemaker 20 days earlier, would you bill for the office service for the rash?
Yes
When you bill for E/M services unrelated to a pacemaker implantation during the allowable follow-up days, what modifier would you use on the code to alert the third-party payer?
24
What are the four cardiac valces?
Mitral, tricuspid, pulmonary, and aortic.
What is the name of the device that can be surgically implanted into the subcutaneous tissue in the upper left quadrant to record heart rhythms when the patient depresses a button?
Patient-activated event recorder
What arteries feed the heart?
Coronary
When a heart artery is clogged and the heart muscle performs at a low level as a result of a lack of blood, the condition is called _____________ ischemia.
reversible
When a heart artery is clogged and the heart muscle dies, the condition is called ____________ ischemia.
irreversible
A mass of of undissolved matter in the blood that is transported by the blood current is a(n) ______________.
embolus
Local anesthesia, catheter introduction, and the injection of ___________ ____________ are procedures that are included in a vascular injection.
Contrast material (or contrast media)
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