CCC CCC Cardiac Procedures & Interventional Coding 2

Question 1

A patient undergoes coronary artery bypass grafting (CABG) using three arterial grafts. Which CPT code best describes this procedure?

Accepted Answer

CPT 33535

Answer

CPT 33535 describes CABG using three arterial grafts; codes 33533–33536 correspond to one through four or more arterial grafts respectively.

Question 2

Which electrophysiology code is used for a comprehensive electrophysiological evaluation including His bundle recording, atrial and ventricular stimulation?

Accepted Answer

CPT 93619

Answer

CPT 93619 describes a comprehensive EP study including right atrial and right ventricular stimulation with His bundle recording.

Question 3

When coding insertion of an implantable cardioverter-defibrillator (ICD) with subcutaneous electrodes (S-ICD), the appropriate CPT code is:

Accepted Answer

CPT 33270

Answer

CPT 33270 describes insertion of a subcutaneous implantable defibrillator with subcutaneous electrode, distinct from transvenous ICD systems.

Question 4

Intravascular ultrasound (IVUS) performed during a coronary intervention is reported using which type of code?

Accepted Answer

An add-on code reported in addition to the primary interventional procedure

Answer

IVUS during coronary intervention (CPT 92978 for initial vessel, 92979 for each additional) is reported as add-on codes alongside the primary interventional procedure.

Question 5

A cardiologist performs closure of a patent foramen ovale (PFO) using a percutaneous transcatheter approach. The appropriate CPT code is:

Accepted Answer

CPT 93580

Answer

CPT 93580 describes percutaneous transcatheter closure of a congenital cardiac defect using an implant, including PFO and ASD closures.

CCC Practice Test

CCC Practice Test

CCC CCC Cardiac Procedures & Interventional Coding 2