BC 2020 Coding Applications Week 3
Completion
Complete each statement.
1. What is the code for a tunneled centrally inserted central venous catheter, without pump or port, in a 72-
year-old patient?
CPT Code: 36558
2. CPR (Cardiopulmonary resuscitation)
CPT code: 92950
3. Placement of a dual-chamber pacemaker.
Using a standard technique, the left infraclavicular subcutaneous pacemaker pocket was created with
sharp and blunt dissection. The 2 j-tipped guidewires were advanced through a left subclavian vein using
standard left subclavian venotomy under fluoroscopic guidance. The peel-away sheaths and introducers
were advanced over the guidewires, and the guidewires were removed. The pacemaker leads were
advanced under fluoroscopic and electrophysiologic guidance into the right ventricular apex and right
atrial appendage. The pacemaker leads were seen to function adequately in vivo and were sutured in
place with 0 silk. The leads were connected to the pulse generator, which was delivered into the wound in
the usual fashion; 2-0 Vicryl suture was used to close the deep tissue layer and a 4-0 running subcuticular
suture was used to close the skin. There were no complications of the procedure.
CPT Code:
4. PREOPERATIVE DIAGNOSIS: Right hemothorax
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE PERFORMED: Placement of anterior chest tube
PROCEDURE: The patient was draped and prepped in the usual manner. The area was infiltrated with
1% lidocaine. A 1-cm incision was made in the second intercostal space about 7 cm to the right of the
midline in the anterior chest and a 20-F chest tube was passed. Good tidal volume was confirmed. The
chest tube was anchored using 1-0 silk. The area was dressed and the chest tube placed on suction. The
patient tolerated the procedure well. Complications—none.
CPT Code:
5. A five-vessel coronary artery bypass using two arteries and three vein grafts. (Separate the codes with a
comma in your response as follows: XXXXX, XXXXX.)
CPT Code
6. Abdominal aortogram.
, CPT Code 36200
The right groin was prepped and draped in the usual fashion. Seldinger 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 Omnipaque.
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.)
36200 CPT Codes: (Surgery
Code) Modifier
, (Radiology Code) _
-
7. 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-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.
CPT Code:
8. Percutaneous Lung Biopsy
CPT code:
9. Diagnostic thoracoscopy of the pericardial sac, with biopsy caused by chronic rheumatic pericarditis.
CPT Code(s):
10. Cervical tracheoplasty
CPT :
BC 2020 Coding Applications Week 3
Completion
Complete each statement.
1. What is the code for a tunneled centrally inserted central venous catheter, without pump or port, in a 72-
year-old patient?
CPT Code: 36558
2. CPR (Cardiopulmonary resuscitation)
CPT code: 92950
3. Placement of a dual-chamber pacemaker.
Using a standard technique, the left infraclavicular subcutaneous pacemaker pocket was created with
sharp and blunt dissection. The 2 j-tipped guidewires were advanced through a left subclavian vein using
standard left subclavian venotomy under fluoroscopic guidance. The peel-away sheaths and introducers
were advanced over the guidewires, and the guidewires were removed. The pacemaker leads were
advanced under fluoroscopic and electrophysiologic guidance into the right ventricular apex and right
atrial appendage. The pacemaker leads were seen to function adequately in vivo and were sutured in
place with 0 silk. The leads were connected to the pulse generator, which was delivered into the wound in
the usual fashion; 2-0 Vicryl suture was used to close the deep tissue layer and a 4-0 running subcuticular
suture was used to close the skin. There were no complications of the procedure.
CPT Code:
4. PREOPERATIVE DIAGNOSIS: Right hemothorax
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE PERFORMED: Placement of anterior chest tube
PROCEDURE: The patient was draped and prepped in the usual manner. The area was infiltrated with
1% lidocaine. A 1-cm incision was made in the second intercostal space about 7 cm to the right of the
midline in the anterior chest and a 20-F chest tube was passed. Good tidal volume was confirmed. The
chest tube was anchored using 1-0 silk. The area was dressed and the chest tube placed on suction. The
patient tolerated the procedure well. Complications—none.
CPT Code:
5. A five-vessel coronary artery bypass using two arteries and three vein grafts. (Separate the codes with a
comma in your response as follows: XXXXX, XXXXX.)
CPT Code
6. Abdominal aortogram.
, CPT Code 36200
The right groin was prepped and draped in the usual fashion. Seldinger 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 Omnipaque.
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.)
36200 CPT Codes: (Surgery
Code) Modifier
, (Radiology Code) _
-
7. 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-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.
CPT Code:
8. Percutaneous Lung Biopsy
CPT code:
9. Diagnostic thoracoscopy of the pericardial sac, with biopsy caused by chronic rheumatic pericarditis.
CPT Code(s):
10. Cervical tracheoplasty
CPT :
Purchase answer to see full
attachment