Cardiology and the Cardiovascular System

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Chapter 9

• Cardiology and the Cardiovascular System

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Cardiology Services

• Medical or noninvasive
• Invasive, therapeutic, or interventional
  cardiology, nuclear diagnostic

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Cardiology

• Many cardiovascular codes are paired with
  radiological codes.
• Codes from many chapters can be selected to
  describe all services performed 30000, 70000,
  90000, Category III

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Cardiac Anatomy and Physiology

• Myocardium
• Epicardium
• Pericardium
• Atrium
• Ventricle
• Tricuspid

• Semilunar valves
• Left anterior descending (LAD)
• Circumflex
• Bundle of His

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Hypertension

• Hypertension table
• Official coding guidelines for cardiology
• Hypertension with heart disease (combo code)
• Hypertensive renal disease with chronic renal
  failure
• Hypertensive heart and renal disease
• Hypertensive cerebrovascular disease

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Hypertension (cont.)

• Elevated blood pressure is not synonymous with
  hypertension (HTN)
• Cardiovascular history personal and/or family
• Screening

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Cardiology

• Misadventures
• Diagnostic services
• Therapeutic services
• Consults

• Critical care
• Cardiography
• ECG aka EKG
• Medicare G codes

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Cardiology (cont.)

• Holter monitor
• Stress test
• Echocardiography
• TTE, TEE
• Permanent recordings
• ABN for Doppler or mapping if screening

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Cardiology (cont.)

• Invasive and/or interventional procedures
• Cardioversion

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Cardiology (cont.)

• Cardiac catheterization
• HCPCS modifiers for arteries
• Cath package
• Codes assigned based on the access and final
  destination of the catheter tip
• Stent placement, arthrectomy, angioplasty

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Cardiology (cont.)

• Intracardiac electrophysiological procedures
• Vascular studies
• Pacemaker
• Permanent or temporary
• Single or dual chamber
• HCPCS II codes for Medicare

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Cardiology (cont.)

• Cardiac valves
• Venous grafting for coronary artery bypass
• Combination arterial-venous grafting for bypass
• Arterial grafting for coronary artery bypass
• Coronary endarterectomy
• Arteries and veins

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Cardiology (cont.)

• Endovascular repair of abdominal aortic aneurysm
• Endovascular repair of iliac aneurysm
• Repair of arteriovenous fistula
• Thromboendarterectomy
• Vascular injection procedures
• Central venous access procedures

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Cardiology (cont.)

• Stents
• Vein stripping
• Vascular procedures
• Radiology crosswalk