Chapter 10 : Cardiovascular – Set A

1. How many layers of tissue does an artery have?

a. One c. Three
b. Two d. Four
2. The conduction system contains pacemaker cells, nodes, the __, and the __.
a. Bundle of His and electrical system
b. Purkinje fibers and bundle of His
c. Heart valves and Purkinje fibers
d. Electrical system and bundle of His
3. What part of the cardiovascular system is responsible for the one-way flow of blood
through the chambers of the heart?
a. Septum c. Bundle of His
b. Heart valves d. Atria
4. Which main coronary artery bifurcates into two smaller ones?
a. Right c. Inverted
b. Left d. Superficial
5. What is the term for the divider between the heart chamber walls?
a. SA node c. Septum
b. Bundle branch d. Mitral
6. A patient suffering from an abdominal aortic aneurysm involving a renal artery
undergoes endovascular repair deploying a fenestrated visceral autograft using two
visceral artery endoprostheses. Radiological supervision and interpretation was
performed. Select the CPT® code for this procedure.
a. 34841 c. 34701
b. 34842 d. 34703
7. A physician places a centrally inserted, tunneled central venous access device with a
subcutaneous pump in a 7 year-old patient.
a. 36561 c. 36560
b. 36563 d. 36558
8. Patient presents to her physician 10 weeks following a true posterior wall myocardial
infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease.
What is (are) the correct ICD-10-CM code(s) for this condition?
a. Z51.89, I25.9 c. I21.29
b. I22.8 d. I25.2
9. _____ is a term standing for enlargement of the heart.
a. Cardiorenal c. Cardiomegaly
b. Angiomegaly d. Valvuloplasty
10. Repair of coronary vessel is called:
a. Endarterectomy c. Aortic
b. Angioplasty d. Endovascular
11. A physician performs a four-vessel autogenous (one venous, three arterial) coronary
bypass on a patient who had a previous CABG two years ago, utilizing the saphenous
 vein, radial artery and the left and right internal mammary arteries. Select the CPT®
codes for this procedure.
a. 33535, 33510-51, 33530, 35600 c. 33533, 33519, 33530, 35600
b. 33534, 33518, 33530 d. 33535, 33517, 33530, 35600
12. A patient in the ED was found to have a ruptured abdominal aortic aneurysm. He was
taken to emergency surgery; a physician performed a direct repair. The physician
documented that the aneurysm involved the common iliac. Select the proper CPT® code
for this procedure.
a. 34704 c. 35103
b. 35092 d. 35102
13. A patient presents to the hospital for a cardiovascular SPECT study. A single study is
performed under stress, but without quantification, with a wall motion study, and ejection
fraction. Select the CPT® code(s) for this procedure.
a. 78451, 78472 c.78453
b. 78453, 78472 d. 78451
14. Intracoronary stents are placed percutaneously in the right coronary and left anterior
descending arteries for a patient with stenosis. Percutaneous transluminal balloon
angioplasty is performed on the left circumflex coronary artery. Choose the correct
CPT® codes for this procedure.
a. 92928-RC, 92928-LD, 92920-LC c. 92933-RC, 92934-LD, 92934-LC
b. 92928-RC, 92929-LD, 92920-LC d. 92928-RC, 92920-LD, 92920-LC
15. Select the ICD-10-CM diagnosis codes used for pseudoaneurysm, cardiac tamponade and
left ventricular failure.
a. I72.9, I31.4, I50.1 c. I34.8, I31.9, I50.9
b. I25.3, I31.9, I50.9 d. I71.9, I31.9, I50.9
16. Physician changes the old battery to a new one on a patient’s dual chamber permanent
pacemaker. What CPT® code(s) is/are reported?
a. 33212 c. 33213, 33233-51
b. 33229 d. 33228
17. Physician replaces a single chamber permanent pacemaker with a dual chamber
permanent pacemaker. What CPT® code(s) is/are reported?
a. 33213, 33233-51 c. 33214
b. 33213, 33233-51, 33235-51 d. 33212, 33233-51
18. Patient is seen in his physician’s office and diagnosed with benign hypertension and stage
3 chronic kidney disease.
a. I12.9, N18.3 c. I13.10, N18.6
b. I10, N18.3 d. I10, N18.9
19. In the cath lab a physician places a catheter in the aortic arch from a right femoral artery
puncture to perform an angiography. Fluoroscopic imaging is performed by the
physician. What CPT® code(s) is/are reported?
a. 36215, 75605-26 c. 36221
b. 36200, 75605-26 d. 36222
20. In the cath lab, from a right femoral artery access, the following procedures are
performed: Catheter placed in the left renal, accessory renal superior to the left renal and
one main right renal artery. Radiologic supervision and imaging is performed in all
locations. What CPT® code(s) is/are reported?
a. 36252, 36251
b. 36245-LT, 36245-59-LT, 36245-59-RT, 75774-26
c. 36245, 36245-59, 36245-59, 36252-26
d. 36252
21. Patient is diagnosed with acute systolic heart failure due to hypertension with CKD stage
4.
a. I13.0, I50.21, N18.4 c. I10, I12.9, I50.21, N18.4
b. I11.0, I12.9, I50.21, N18.4 d. I13.0, I50.21, N19
22. A patient presents for epicardial lead placement via median sternotomy to the right
atrium and right ventricle. A dual pacemaker generator is then inserted subcutaneously.
The patient has bundle branch block and sinoatrial node dysfunction. What CPT® and
ICD-10-CM codes are reported?
a. 33214, I45.2, I49.8 c. 33202, 33213-51, I45.4, I49.5
b. 33203, 33213-51, I45.10, I49.5 d. 33208, 33213-51, I45.4, I49.5
23. A physician states he performed a comprehensive EP study with induction of arrhythmia
in the hospital. The report shows bundle of His recording, pacing and recording of the
right atrium, and induction of arrhythmia by electrical pacing. What CPT® code(s) is/are
reported?
a. 93600-26, 93602-26, 93610-26, 93618-26
b. 93620-26
c. 93620-26, 93621-26
d. 93619-26
24. Due to infections from hemodialysis, the physician replaces a dual chamber implantable
defibrillator system with a multi-lead system with an epicardial lead and transvenous dual
chamber lead defibrillator system. The original dual leads are extracted transvenously.
The generator pocket is relocated. What CPT® codes are reported?
a. 33244, 33220-51, 33264-51, 33223-59
b. 33243, 33202-51, 33263-51, 33223-59
c. 33241, 32330-51, 33263-51, 33223-59
d. 33244, 33202-51, 33264-51, 33223-59
25. A physician supervises a patient during a cardiac stress test performed at the hospital and
writes the interpretation and report. Which code(s) is/are reported for the physician NOT
employed by the hospital?
a. 93015 c. 93016, 93018
b. 93016-26 d. 93016, 93017