The left radial artery is an upper extremity artery

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33519, and also look for Arterial Bypass which directs you to codes 33533-33536. The left radial artery is an upper extremity artery and separately reportable (35600), as noted in the guidelines preceding categories Combined Arterial Venous Grafting for Coronary Artery Bypass and preceding Arterial Grafting for Coronary Artery Bypass. Modifier 51 is appended to 33533, because it is an additional procedure performed during the same session. The other codes are add-on codes; therefore, modifier 51 exempt. Question 24 0 out of 4 points A 35 year-old patient presented to the outpatient hospital for PTA of an obstructed hemodialysis AV graft in the venous anastomosis and the immediate venous outflow. The procedure was performed under moderate sedation administered by the physician performing the PTA. The physician performed all aspects of the procedure, including radiological supervision and interpretation. Code for all services performed. Selected Answer: d. 36905 Correct Answer: a. 36902 Response Feedback : Rationale: PTA is the abbreviation for percutaneous transluminal angioplasty. This procedure involves the peripheral dialysis segment, which in the upper extremity extends through the axillary vein or the entire cephalic vein in the case of cephalic venous outflow. The correct code is 36902, which includes angioplasty and all radiological supervision and interpretation. Moderate sedation is not included in this code; however, 99152 is not reported, because the documentation does not indicate who monitored the patient, the medication, the dosage, or the time of the moderate sedation. Question 25 4 out of 4 points
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In the cardiac suite, an electrophysiologist performs an EP study. With programmed electrical stimulation, the heart is stimulated to induce arrhythmia. Observed is right atrial and ventricular pacing, recording of the bundle of His, right atrial and ventricular recording and left atrial and ventricular pacing and recording from the left atrium. Selected Answer: d. 93620, 93621, 93622 Correct Answer: d. 93620, 93621, 93622 Response Feedback : Rationale: The studies performed make up a comprehensive study (93620) which includes: evaluation with right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording with induction of or attempted induction of arrhythmia. Left atrial pacing and recording (93621) and left ventricular pacing and recording (93622) are add-on codes. Look in the CPT® Index for Electrophysiology Procedure which directs you to 93600-93660.
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  • Fall '17
  • Cardiology, Atherosclerosis, Femoral artery, coronary artery, right coronary artery

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