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A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.
What CPT code does the vascular surgeon use to report the procedure?
The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.
AMA's CPT Professional Edition (current year)
Which place of service code is submitted on the claim for a service that is performed in a skilled nursing facility?
In medical billing, Place of Service (POS) code 31 is used to indicate that a service was performed in a skilled nursing facility (SNF). POS codes are standardized by the Centers for Medicare & Medicaid Services (CMS) to specify the location where services are provided.
A . 32 refers to a nursing facility (NF), which is different from a skilled nursing facility in terms of the level of care provided.
B . 20 indicates urgent care facility.
C . 22 is used for outpatient hospital services.
Thus, the correct answer is D. 31 for a skilled nursing facility.
A 45-year-old patient comes In with chronic sinusitis that has not responded to medication. The physician decides to use a sinus stent implant to help alleviate the patients symptoms.
The physician inserts the implant into the ethmoid sinus using a delivery system. This implant is designed to keep the surgical opening clear, prop open the sinus, and gradually release a corticosteroid with anti-inflammatory properties directly to the sinus lining. The implant is not permanent and will dissolve over time.
What HCPCS Level II code is reported?
C2617 -- Sinus implant, drug-eluting
Described implant:
Ethmoid sinus
Drug-eluting (corticosteroid)
Absorbable
Why others are incorrect:
C1877 -- Vascular stent
S1091 -- Temporary code
C9600 -- Coronary intervention
What is the muscular ring around a lumen that contracts to control flow through that lumen called?
A sphincter is a muscular ring that encircles a lumen (or passage) and contracts to control the flow of substances through it. Sphincters are found throughout the body in areas such as the gastrointestinal tract (e.g., the lower esophageal sphincter, pyloric sphincter, anal sphincter) and the urinary system (e.g., urethral sphincter), where they regulate the passage of food, waste, and other materials.
A . Stricture refers to an abnormal narrowing of a passage or duct in the body, often due to scarring or disease, not a muscular ring.
B . Snare is a surgical instrument, not a structure within the body.
D . Sinus refers to a cavity or channel within bone or tissue, unrelated to muscle control of flow.
Therefore, the correct answer is C. Sphincter.
Refer to the exhibit.

Refer to the supplemental information when answering this question:
View MR 003264
What is the procedural coding?
The patient had a post-operative complication (cardiac tamponade) following a previous CABG surgery, requiring a return to the operating room for exploration and evacuation of a blood clot. This is coded using CPT code 32658 (Exploration, mediastinum, with or without drainage; for postoperative hemorrhage, drainage of abscess, or to locate foreign body). Modifier 78 is appended to indicate an unplanned return to the operating room by the same physician following the initial procedure for a related procedure during the postoperative period.
CPT Code 32658: Exploration, mediastinum, with or without drainage; for postoperative hemorrhage, drainage of abscess, or to locate foreign body
Modifier 78: Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period
AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
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