Search results

  1. B

    need help with evar for hospital coding please

    After obtaining informed consent, the patient was prepped and draped surgically.  Bilateral femoral artery cutdowns were performed by Dr. Daniel Marelli for the purposes of endovascular repair of a supra and infrarenal abdominal aortic aneurysm.  For details of the EVAR procedure, please see Dr...
  2. B

    need help with failed attempt pci

    Hemodynamics: The aortic pressure was 82/52 mmHg. Coronary Angiography: Right coronary artery is a large-caliber codominant vessel with 100% proximal occlusion. Left Main coronary artery is of large caliber and appears to be patent. Left anterior descending is a large caliber vessel...
  3. B

    Remote-Full Time Or Part Time Multi- Specialty Coders Needed

    are benefits like health insurance, dental, vision, pto offered? for this position. is training provided?
  4. B

    need help coding cath

    Coronary artery disease, angina presence unspecified, unspecified vessel or lesion type, unspecified whether native or transplanted heart [I25.10 (ICD-10-CM)] Conclusion This patient with prior treatment for cocaine abuse, tobacco abuse, hypertension, morbid obesity, prior abnormal...
  5. B

    need help with cath coding

    After obtaining informed consent, the patient was prepped and draped in sterile fashion.  A 6 French glide sheath/sheath was inserted in the right radial artery.  Radial cocktail consisting of 5 mg of verapamil and 200 mg of nitroglycerin was administered via right radial artery sheath to...
  6. B

    need help with carotid angio

    Conclusion 55-year-old male with severe peripheral vascular disease and coronary artery disease was diagnosed with severe left carotid stenosis referred for carotid angiogram prior to stenting.  10:37 AM procedure, risks, benefits, alternative options were explained. Risks including...
  7. B

    need help with second case of carotid angio ?

    71-year-old male who recently had a transient ischemic attack diagnosed with bilateral severe carotid stenosis.  It was thought that the culprit lesion was a left internal carotid artery due to the laterality of the disease.  Procedure, risks, benefits, alternative options were explained. Risks...
  8. B

    need help with carotids angio coding

    70-year-old male with history of carotid disease status post right carotid endarterectomy presented thing with recurrence of symptoms.  Carotid ultrasound showed severe stenosis in the right carotid endarterectomy site and CTA confirmed severe stenosis.  He was brought in for diagnostic...
  9. B

    need help with b/l renals angio and stenting

    Conclusion This patient with recent accelerating severe hypertension on multiple antihypertensive medications with difficult to control blood pressure underwent noninvasive imaging which revealed a severe stenosis in the left renal artery, she subsequently underwent CT angiography which...
  10. B

    need help with peripheral

    it should be 37227 lft
  11. B

    need help with peripheral

    Conclusion After obtaining informed consent, the patient was prepped and draped in the usual fashion.  Approximately 10 mils 2% lidocaine anesthesia was administered to the right groin prior to placement of the arterial sheath.  Under fluoroscopic guidance and using modified Seldinger...
  12. B

    should i code 92920?

    Conclusion This patient with prior treatment for hypertension, dyslipidemia, morbid obesity presented with substernal chest discomfort at rest.  Patient was having persistent angina for 3 days.  She presented to the Sussex campus and was found to have elevated troponins which peaked at...
  13. B

    need help with failed pci coding

    Conclusion This patient with prior treatment for coronary artery disease status post PCI ostial RCA x2, hypertension, dyslipidemia, severe aortic stenosis status post TAVR using a Medtronic valve has been complaining of substernal chest discomfort. Patient underwent Lexiscan stress test...
  14. B

    need b/l iliac stenting help

    Conclusion This 53-year-old female has a known left common iliac artery occlusion status post failed attempt with an antegrade approach from the left femoral was brought in today for attempt from the left brachial. Procedure, risks, benefits, alternative options were explained. Risks...
  15. B

    need help with vein graft balloon angio only

    PROCEDURES 1. Coronary angiogram 2. Left heart catheterization 3. Graft angiogram 4. Percutaneous intervention and balloon angioplasty of vein graft to OM1. 5. Right iliofemoral angiogram PROCEDURE NOTE Informed consent was obtained after explaining risks and benefits to the patient. Right...
  16. B

    need help with angio?

    Conclusion PROCEDURES 1. Ascending aortogram. 2. Left subclavian angiography 3. Attempted percutaneous intervention of left subclavian. 4. 6 French Mynx vascular closure for left femoral artery access PROCEDURE NOTE Informed consent was obtained after explaining risks and benefits to the...
  17. B

    stemi stent placement question

    thanks for clarification
  18. B

    stemi stent placement question

    Pre-procedure Diagnosis STEMI Link to Procedure Log Procedure Log Post-procedure Diagnosis STEMI Indications STEMI involving left circumflex coronary artery (CMS-HCC) [I21.21 (ICD-10-CM)] Conclusion After obtaining informed consent, the patient was prepped and draped in sterile...
  19. B

    URGENT: Cardiology Coder Needed

    how to apply for this remote coder position
  20. B

    need help with angio

    Conclusion 70 year-old female with severe peripheral vascular disease has ongoing nonhealing ulcers in bilateral lower extremities worse on the left than the right. She was known to have severe vascular disease status post stenting to the right superficial femoral artery. Recent CT angiogram...
  21. B

    need help with carotid coding

    Indications Occlusion and stenosis of left carotid artery [I65.22 (ICD-10-CM)] Coronary arteriosclerosis in native artery [I25.10 (ICD-10-CM)] Other cardiomyopathies (CMS-HCC) [I42.8 (ICD-10-CM)] Conclusion 63-year-old male with history of severe carotid stenosis known to have left internal...
  22. B

    need help with nonselective subclavian and common carotid artery

    Indications Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs (CMS-HCC) [I70.213 (ICD-10-CM)] Conclusion PROCEDURES 1. Right radial access 2. Aortic arch angiogram. 3. Right subclavian angiogram. PROCEDURE NOTE Informed consent was obtained...
  23. B

    need help with 75630 vs 75710

    Conclusion After obtaining informed consent, the patient was prepped and draped in the usual fashion. Approximately 5 mL's of 2% lidocaine anesthesia was administered just above the left antecubital fossa. Utilizing a micropuncture kit. A 6 French sheath was placed in the left brachial...
  24. B

    need help with peripheral

    After obtaining informed consent, the patient was prepped and draped in sterile fashion. Approximately 5 mL's 2% lidocaine anesthesia was administered to the left groin prior to placement of the arterial sheath. Under fluoroscopic guidance and using modified Seldinger technique, a 5 French...
  25. B

    need help with Impella device coding

    Indications Cardiomyopathy, ischemic [I25.5 (ICD-10-CM)] Coronary artery disease involving native coronary artery of native heart with unstable angina pectoris (CMS-HCC) [I25.110 (ICD-10-CM)] Abnormal cardiac function test [R94.30 (ICD-10-CM)] Conclusion This patient with a known history of...
  26. B

    need help with ptca?

    Left heart cath Percutaneous coronary intervention Procedure Log Conclusion XT 4-year-old male with history of coronary artery disease status post coronary artery bypass graft surgery and multiple interventions presenting with recurrence of severe chest discomfort and elevated troponin with...
  27. B

    should i code for ptca also?

    Conclusion This patient with prior treatment for coronary artery disease status post PCI to left circumflex, OM1, OM 2 in 2005, hypertension, dyslipidemia is having symptoms of exertional angina. He also had a abnormal stress test revealing inferolateral ischemia. Left heart catheterization...
  28. B

    stemi pci coding?

    Conclusion This patient with prior treatment for coronary artery disease status post CABG x4 in 2003 presented with chest pain, acute respiratory distress requiring ventilator support was found to have ST elevation myocardial infarction. Left heart catheterization was recommended. * After...
  29. B

    kissing stents from aorta and both iliac arteries

    Indications Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs (CMS-HCC) [I70.213 (ICD-10-CM)] Conclusion 51-year-old male presenting with severe left lower extremity claudication and finding on CT angiogram of distal aortic as well as left...
  30. B

    need help with angio

    Conclusion After obtaining informed consent, the patient was prepped and draped in the usual fashion. Approximately 10 mL's 2% lidocaine anesthesia was administered to the right groin prior to placement of the arterial sheath. Under fluoroscopic guidance and using modified Seldinger...
  31. B

    need help with sma and celiac stenting

    Indications Mesenteric ischemia due to arterial insufficiency [K55.059 (ICD-10-CM)] Celiac artery stenosis [I77.4 (ICD-10-CM)] Superior mesenteric artery stenosis [I77.1 (ICD-10-CM)] Conclusion This patient with known ischemic peripheral arterial disease previous iliac stenting has recently...
  32. B

    can i bill for CTO vessel unsuccessful?

    I attest that moderate conscious sedation was provided under my direct supervision with the sedation trained nurse using 1 mg of intravenous Versed and 50 mcg of fentanyl to sedate the patient. Start time was 8:47 AM and end time was 9:58 AM. There were no complications. See nurse's sedation...
  33. B

    need help with cath coding

    Conclusion 64-year-old male with history of aggressive premature coronary disease status post bypass surgery, multiple stenting with repeated interventions presenting with accelerated angina. He was referred for coronary angiogram. Procedure, risks, benefits, alternative options were...
  34. B

    Anatomical Modifer for CPT 93459-26

    hi I am getting denials for modifier reason on caths from highmark health options insurance its in Delaware. I work for hospital so our finance dept have contacted the health option reps who found out that its their system cci edits issue which they are in fixing process and then they will run...
  35. B

    carotid coding help!!!

    Indications Carotid stenosis, left [I65.22 (ICD-10-CM)] Conclusion This 78-year-old male was brought in for diagnostic cerebral angiogram after investigation showed severe left internal carotid artery stenosis. He was referred to vascular surgery with the deemed the patient to be a high...
  36. B

    need help with peripheral codoing

    Indications PVD (peripheral vascular disease) [I73.9 (ICD-10-CM)] Peripheral venous insufficiency [I87.2 (ICD-10-CM)] Left leg pain [M79.605 (ICD-10-CM)] Conclusion After obtaining informed consent, the patient was prepped and draped in the usual fashion. Approximately 10 mL 2% lidocaine...
  37. B

    unsuccessful lv lead revision need help coding

    Conclusion Cardiac BiV ICD LV lead explant and attempted reimplant Operative Report * Procedure(s): BiV ICD LV Lead explant and attempted reimplantation L SC Vein veinogram 10 cc showing occluded L subclavian vein * Indications: LV lead dislodgment LBBB Chronic ssytolic CHF FC III...
  38. B

    cath coding need help

    PROCEDURES 1. Right radial access 2. Coronary angiogram 3. Left heart catheterization 4. Right axillary artery angiogram 5. Percutaneous intervention and drug-eluting stent placement to right coronary artery PROCEDURE NOTE Informed consent was obtained after explaining the risks and benefits...
  39. B

    need help subclavian stenting

    PROCEDURES 1. Aortic arch angiogram 2. Selective left subclavian angiogram with the left arm runoff 3. Percutaneous transluminal angioplasty and balloon expandable bare-metal stent placement to left subclavian artery. PROCEDURE NOTE Informed consent was obtained after explaining risks and...
  40. B

    need help with celiac stenting

    This patient has a recent history of abdominal pain, postprandial, and noninvasive studies have found SMA occlusion and celiac artery stenosis. * He had attempted opening of the celiac artery from the left brachial approach recently which was unsuccessful due to severity of the stenosis and...
  41. B

    need help with carotid coding

    Indications Occlusion and stenosis of left carotid artery [I65.22 (ICD-10-CM)] Atherosclerotic heart disease of native coronary artery without angina pectoris [I25.10 (ICD-10-CM)] Swelling of limb [M79.89 (ICD-10-CM)] Conclusion 81-year-old male with symptomatic left sided high risk carotid...
  42. B

    Coder needed

    I am a cath lab coder almost 4yrs of experience but looking for remote position
  43. B

    need help with iliac coding

    After obtaining informed consent for the patient a 5 French sheath was placed under fluoroscopic guidance into the left common femoral artery and aortoiliac digital subtraction angiogram was performed. After identification of the significant disease in the proximal nonostial left common iliac...
  44. B

    help with graft angioplasty

    Conclusion 78-year-old male presenting with recurrent episodes of chest discomfort. He is known to have coronary artery bypass graft surgery. The stress test showed anterior ischemia. He was referred for cardiac catheterization procedure, risks, benefits, alternative options were explained...
  45. B

    33282 and 33284 same session is it billable with 59 modifier?

    Cardiac Implantable Loop Monitor Explant Operative Report * Procedure(s): Implantable Loop recorder explantation Implantable Loop recorder implantation * Indications: Loop ERI Palpitations Cryptogenic stroke PAT Inducible but not clinical PAF * Procedure Details The risks, benefits...
  46. B

    is cinefluroscopy billable? need coding help for hospital

    Cinefluoroscopy of ICD leads * Indication: Recent VF event term by 36 J with oversensing post ICD shock in the RV lead briefly. * The patient was brought to the EP lab. Cinefluoroscopy was performed in the RAO 5 and 35 degrees, LAO 25, and LAO 55 degrees. The RA, RV and LV leads were all...
  47. B

    cath with subclavian angio stent need help

    This 71-year-old female with history of coronary disease status post multivessel stenting in the past who is presenting with combination symptoms of left-sided chest discomfort as well as left arm claudication with neurologic complain of numbness at rest. Workup showed severe left subclavian...
  48. B

    q0 modifier

    I am adding q0 for primary prevention/ implantation of icd cpt 33249 for medicare patients
  49. B

    33249 with q0 modifier denial

    wanted to know how to find out if our hospital is enrolled under clinical trial for 33249? I been appending q0 modifier to 33249 but now I been getting cci edits denials saying to add either secondary prevention of cardiac arrest dx or add q0 modifier any thoughts how to resolve the issue? in...
  50. B

    q0 modifier

    hello wanted to know how to find out that our hospital is enrolled in clinical trail? all of a sudden I been getting denials when I add q0 (zero) modifier to cpt 33249 any input?
Top