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Pts 1 dif difficult 47 ans c rationale you must read

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PTS:1DIF:Difficult47.ANS: CRationale: You must read the question carefully because this is a ruptured aortic aneurysm involving thecommon iliac not a ruptured aneurysm of the common iliac. Look in the CPT® Index for AneurysmRepair/Abdominal Aorta referring you to multiple codes. On review of the code ranges, code 35103 is correct.Code 35102 is a repair of an aneurysm not ruptured.PTS:1DIF:Moderate48.ANS: CRationale: The aorta is the trunk of the system, so this is a non-selective catheterization. Look in the CPT®Index for Angiography/Cervicocerebral Arch. Only one code is reported for the catheterization andfluoroscopic imaging which is 36221.PTS:1DIF:Moderate49.ANS: BRationale: Only one base code is reported per major coronary artery. In this case angioplasty and stentplacement was performed in the right coronary artery (92928-RC) and in the left anterior descending (92928-LD). Look in the CPT® Index for Coronary Artery/Angioplasty/with Stent Placement referring you to 92928-92929. A thrombectomy was performed by AngioJet in the LD reported with 92973. Look in the CPT Indexfor Coronary Artery/Thrombectomy referring you to 92973. A temporary pacemaker was inserted through thefemoral vein; however, it is bundled with the cardiac catheterization. At the end of the procedure, an intra-aortic balloon pump was inserted, 33967. Look in the CPT® Index for Insertion/Balloon/Intra-Aorticreferring you to 33967, 33973.PTS:1DIF:Difficult50.ANS: ARationale: IVUS is the abbreviation for Intravascular Ultrasound. Stent placement (92928) and IVUS (92978)are reportable. To find the stent placement code look in the CPT® Index for CoronaryArtery/Angioplasty/with Stent Placement referring you to 92928-92929. Modifier 51 is not appended to IVUSas it is an add-on code. IVUS is reported for each vessel when performed in multiple vessels. Modifier RC isappended to 92928 to indicate the right coronary artery. The coronary artery modifiers are only used forcoronary artery interventions. To locate IVUS look in the CPT® Index for Vascular Procedures/IntravascularUltrasound/Coronary Vessels referring you to 92978-92979. Do not append modifier RC to the IVUS code.PTS:1DIF:Difficult
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Atherosclerosis, Femoral artery, right coronary artery

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