WEEK 3 Coding Applications Test

Question 1
Needs Grading

What is the code for a tunneled centrally inserted central venous catheter, without pump or port, in a 72-year-old patient?
CPT Code: ____________________

Selected Answer:
36558
Correct Answer: 36558
Rationale: The coder should begin by locating the main term "Insertion" and then the subterm "Venous." After reviewingthe codes in the tabular list the coder should select 36558 because this is a "72 year old patient."

Question 2
Needs Grading

CPR (Cardiopulmonary resuscitation)
CPT code: _________________

Selected Answer:
92950
Correct Answer: 92950
Rationale: The coder should refer to the CPT manual Index and reference the main term "Cardiopulmonary Resuscitation" and only one code is given. The coder should verify the code in the CPT tabular list to confirm the correct code of 92950.

Question 3
Needs Grading

Placement of a dual-chamber pacemaker.
Using a standard technique, the left infraclavicular subcutaneous pacemaker pocket was created with sharp and blunt dissection. The 2 j-tipped guidewires were advanced through a left subclavian vein using standard left subclavian venotomy under fluoroscopic guidance. The peel-away sheaths and introducers were advanced over the guidewires, and the guidewires were removed. The pacemaker leads were advanced under fluoroscopic and electrophysiologic guidance into the right ventricular apex and right atrial appendage. The pacemaker leads were seen to function adequately in vivo and were sutured in place with 0 silk. The leads were connected to the pulse generator, which was delivered into the wound in the usual fashion; 2-0 Vicryl suture was used to close the deep tissue layer and a 4-0 running subcuticular suture was used to close the skin. There were no complications of the procedure.
CPT Code: ____________________

Selected Answer:
33208
Correct Answer:

33208
Rationale: The coder should refer to the CPT manual index and locate the main term "Insertion" then the