OPENSHAW
Guru
CARDIAC CATH PROCEDURE NOTE -IVC FILTER
Name of procedure: IVC Filter Placement (Greenfield)
Left and Right selective renal veinograms
Complications: None
EBL: <20cc
Specimens: None
Procedure detail:
The patient was prepped and draped in the usual sterile fashion. Sedation with fentanyl was achieved. The right common femoral vein was accessed with a needle after anesthetizing with 2% lidocaine using a cook needle and a 6 french sheath was inserted in normal form and fashion. Using a 5french RDC catheter selective right and left venograms of the renal veins were completed and their position noted. We then exchanged the sheath for a 12french sheath to placed a greenfield filter. The tip was placed at 14.5cm where it was felt the renal veins flowed into the SVC The sheath was pulled in the room. The pt tolerated the procedure well and there were no complications. Manual pressure was held.
Above seen and agree.
Findings:
1) Successful deployment of A Greenfield Filter in the IVC at confluence of renal veins
Plan:
Pt will return to holding area and then DC'd home.
Office follow up will be arranged.
Would this be codes as:
75833-26, dx. 453.40, 285.9
37191, dx. 453.40, 285.9
Regarding the renal venogram, I am not quite sure of the diagnosis to use?
Thank you!
Name of procedure: IVC Filter Placement (Greenfield)
Left and Right selective renal veinograms
Complications: None
EBL: <20cc
Specimens: None
Procedure detail:
The patient was prepped and draped in the usual sterile fashion. Sedation with fentanyl was achieved. The right common femoral vein was accessed with a needle after anesthetizing with 2% lidocaine using a cook needle and a 6 french sheath was inserted in normal form and fashion. Using a 5french RDC catheter selective right and left venograms of the renal veins were completed and their position noted. We then exchanged the sheath for a 12french sheath to placed a greenfield filter. The tip was placed at 14.5cm where it was felt the renal veins flowed into the SVC The sheath was pulled in the room. The pt tolerated the procedure well and there were no complications. Manual pressure was held.
Above seen and agree.
Findings:
1) Successful deployment of A Greenfield Filter in the IVC at confluence of renal veins
Plan:
Pt will return to holding area and then DC'd home.
Office follow up will be arranged.
Would this be codes as:
75833-26, dx. 453.40, 285.9
37191, dx. 453.40, 285.9
Regarding the renal venogram, I am not quite sure of the diagnosis to use?
Thank you!