CCC Cardiology Coding Case Scenarios — Questions and Answers
Question 1: A patient undergoes a coronary angioplasty with stent placement. Which CPT code should be reported?
- 93458
- 92928 (Correct answer)
- 93797
- 93306
Correct answer: 92928
CPT code 92928 is used for percutaneous coronary intervention (PCI) with stent placement, ensuring accurate procedure coding.
Question 2: A cardiologist performs and interprets an echocardiogram. Which modifier should be used?
- -59
- -26 (Correct answer)
- -TC
- -51
Correct answer: -26
Modifier -26 is used when a provider interprets a diagnostic test but does not perform the technical component.
Question 3: A patient with chest pain undergoes an ECG in the emergency room. Which CPT code applies?
- 93010 (Correct answer)
- 93451
- 92928
- 93799
Correct answer: 93010
CPT code 93010 is used for an electrocardiogram (ECG) with interpretation and report, a common test for chest pain assessment.
Question 4: A patient is diagnosed with atrial fibrillation. Which ICD-10 code should be assigned?
- I50.9
- I48.91 (Correct answer)
- I10
- I21.9
Correct answer: I48.91
ICD-10 code I48.91 is used for atrial fibrillation, a common cardiac arrhythmia requiring specific coding.
Question 5: A cardiologist bills for a follow-up E/M visit for a heart failure patient. Which modifier applies?
- -25 (Correct answer)
- -59
- -51
- -26
Correct answer: -25
Modifier -25 is used to indicate that an E/M service was significant and separately identifiable from a procedure performed on the same day.
Question 6: A patient presents for a pacemaker check using remote monitoring. Which HCPCS code is appropriate?
- G2066 (Correct answer)
- E0610
- G0297
- A4556
Correct answer: G2066
HCPCS code G2066 is used for remote monitoring of cardiac devices like pacemakers, ensuring proper documentation of services.
A patient undergoes a coronary angioplasty with stent placement.
Which CPT code should be reported?