Description
This three-part series covers CPT coding for procedures performed in the cardiac catheterization and electrophysiology (EP) lab. Part 1 includes an overview of pertinent heart and coronary anatomy as well as instruction on coding for diagnostic heart catheterization and coronary imaging. Part two delves into percutaneous coronary interventions and addresses coronary artery modifiers along with CPT’s progressive hierarchies for coronary revascularization. The series is completed with Part 3, which presents procedures commonly performed by cardiac electrophysiologists, such as pacemaker and cardioverter defibrillator procedures and cardiac EP studies, and arrhythmia ablation.
Objectives:
Part 1: Cardiac Catheterization
- Identify the branches of the main coronary arteries
- Label a diagram of the heart chambers and valves
- Distinguish between native and bypassed coronary vessels
- Identify procedures that are integral to a diagnostic cardiac catheterization
- Distinguish between diagnostic right heart catheterization and pulmonary wedge pressure monitoring
- Select four conditions that are not considered congenital according to CPT when coding for congenital cardiac catheterization procedures
- Determine the appropriateness of coding peripheral angiography codes performed during a cardiac catheterization encounter
- Recognize normal vs. abnormal native connections
- Differentiate between subaortic and subpulmonic circulation
- Determine which procedures are bundled into codes for congenital heart defect procedures and those that are reported separately
Part 2: Percutaneous Coronary Interventions
- Match the major coronary arteries and their branches to their corresponding modifiers
- Determine when to assign heart catheterization codes in addition to percutaneous coronary intervention (PCI) codes
- Determine the base code when more than one PCI procedure is performed in a single episode
- Identify when to use Medicare Level II HCPCS codes for PCI procedures
- Determine when to use thrombectomy and thrombolysis codes
- Match approaches for catheter-based aortic valve replacements to their corresponding CPT codes
Part 3: Electrophysiology
- Identify the natural pacemaker of the heart
- Map the electrical conductivity of the heart
- Differentiate between types of arrhythmia
- Recognize the type of equipment used during electrophysiology exam
- Identify the components of a comprehensive electrophysiology exam
- Abstract key documentation points from procedure reports for coding purposes
- Differentiate between pacemaker and implantable cardioverter defibrillator devices
- Identify cardiac resynchronization/biventricular devices
- Distinguish replacement procedures from insertion procedures when devices are replaced or upgraded
** The price of this product includes an AMA Royalty Fee
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Julie –
You have one tough final test!
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Jenna –
Content is clear and helpful.
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Some of the material moved too fast for me. I had to watch it a couple of times and had to take the test a few times.
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Difficult. Definitely need to review this course.
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