I have attached a stress echo cardiogram report and need some advice on how to code for stress test/ stress echo/ TEE These studies have the patient walk on a treadmill and have echo imaging pre and post walking . Another stress echo is a Dobutamine or pharmacologic study. This test has the drug Dobutamine infused and heart is imaged with echo. If anyone can please route me into the correct way for each exam as this is my first time coding these studies. |
Pre-procedure Diagnoses |
1. Dyspnea on exertion [R06.09] |
Procedure: Treadmill exercise stress echocardiogram. I have personally supervised the stress test. Procedure indication: Chest pain, dyspnea Description of procedure and findings: Baseline electrocardiogram demonstrates normal sinus rhythm . Rest: HR 88 BP 122/70 Stage I: HR 145 BP 128/72 Stage II: HR 167 BP 138/80 Stage III: HR 186 BP - Stage IV: HR - BP - Recovery: HR 112 BP 140/80 Symptoms: None. Electrocardiographic changes: 2 mm ST depressions V3 to V6 during peak stress Cardiac ectopy: None Observations: The patient exercised for 8 minutes of a standard Bruce protocol. 2 mm ST depressions V3 to V6 during peak stress. no chest pain. No arrhythmias. Patient achieved target heart rate. Stress echo parameters: Excellent LV function at rest. Post stress, excellent augmentation of myocardial contractility. All walls recruit. Conclusion: Abnormal EKG portion of exercise stress echocardiography. Normal echo portion exercise stress echocardiography. Excellent exercise tolerance. Accelerated heart rate response. I have came up with 93350 and 93017. Thank you!! |