CCC CCC Cardiac Procedures & Interventional Coding

Question 1

Which CPT code range covers percutaneous coronary intervention (PCI) procedures, including balloon angioplasty of coronary arteries?

Accepted Answer

92920–92944

Answer

33400–33430

Answer

93454–93461

Answer

93530–93533

Question 2

When coding a diagnostic left heart catheterization with coronary angiography, which code set is most appropriate?

Accepted Answer

CPT 93454–93461

Answer

CPT 93451–93453

Answer

CPT 92920–92928

Answer

CPT 93600–93603

Question 3

A cardiologist performs ablation of an arrhythmia focus using a 3D electroanatomical mapping system. Which modifier or add-on code should be reported for the mapping?

Accepted Answer

CPT 93613 (intracardiac electrophysiological 3D mapping)

Answer

Modifier -59

Answer

CPT 93654

Answer

No additional code; it is bundled

Question 4

Transcatheter aortic valve replacement (TAVR) performed via transfemoral approach is reported with which CPT code?

Accepted Answer

CPT 33361

Answer

CPT 33362

Answer

CPT 33363

Answer

CPT 33364

Question 5

When a cardiologist places a dual-chamber pacemaker (generator and two leads) for the first time, the coder should report:

Accepted Answer

CPT 33208 for the generator insertion and separate lead codes

Answer

CPT 33206 only

Answer

CPT 33249 only

Answer

A single all-inclusive code 33200

Question 6

The term 'selective catheter placement' in cardiac catheterization coding means:

Accepted Answer

The catheter was manipulated beyond the aorta into a branch vessel requiring skill-based navigation

Answer

The catheter was placed in the main aorta only

Answer

The procedure required general anesthesia

Answer

The catheter was placed using ultrasound guidance