Question

QUESTION 7

  1. CASE STUDY 16: Determine which of the following CPT should be reported for the OP services.

    A.

    93452, 93454

    B.

    93459

    C.

    93458

    D.

    93461

10 points   

QUESTION 8

  1. CASE STUDY 16: Which statement from the procedural record indicates that a left heart catheterization was performed? (This question counts as 0 points, since it meant to demonstrate the differences between arteriography and a heart catheterization.)

    A.

    Approximate 60-70% stenosis in the midportion of the posterior descending coronary artery.

    B.

    Patent LIMA graft of the left anterior descending coronary artery.

    C.

    Total occlusion of the proximal left anterior descending coronary arter after the first septal and first diagonal vessels.

    D.

    Normal left ventricular size and systolic contractile pattern. Mildly elevated left ventricular end-diastolic pressure 16 mmHg.

5 points (Extra Credit)   

QUESTION 9

  1. CASE STUDY 16: This outpatient record includes documentation of coronary artery disease of the native arteries, including total occlusion of the left anterior descending artery. Additionally, the physician reports coronary artery disease in the bypass graft. Based on this, choose the best diagnostic coding for the case.

    A.

    I25.41, I25.6

    B.

    I25.82, I25.89

    C.

    I25.721, I25.710

    D.

    I25.810, I25.10, I25.82Code ICD-9-CM Diagnosis Code and CPT codes for procedure(s) Case Study 16 Ambulatory Care Face Sheet Date of Service: 01/17/Case Study 16 History and Physical DATE OF ADMISSION: 1-17- HISTORY OF PRESENT ILLNESS: This is a 52-year-old male with a hisCase Study 16 Cardiac Catheterization Report Date of Catherization: 01/17/ Procedure: Cardiac Catheterization Pre-operative DCase Study 16 PRC SS NOTE: 1/17 Patient admitted for left heart catheterization. Agreeable to proceed. Aware of risks and ben

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Answer #1

7.B.93459

8.D.normal left ventricular size and systolic pattern.slightly elevated diastolic presure.

9.D.history of grafting should be included when coding diagnosis.

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