Will someone please help me code a operative report please 
I am trying to learn and teach myself in Cardio Coding not having much luck;(
Its a off-pump Lima to Lad.
The internal mammary artery was dissected free from the chest wall. Upon completion, the patient was heparinized. The off-pump sternal retractor placed and the mammary pedicle was ligated. There had been no entrance into the left pleural space and a small tunnel was made into the pericardium. Three pericardial stitches were placed on the left side and a lap pad was placed behind the heart. The LAD was identified and a stabilization footplate was brought up and into position. A proximal occluding stitch was placed and the LAD was occluded. Arteriotomy was performed. A 1.75-mm shunt was attempted to be placed and did not fit proximally but did fit distally. The mammary pedicle was brought up and end-to-side anastomosis was performed with 8-0 prolene in a runnning fashion using the parachute technique. Upon completion, the shunt was removed. The bulldog was removed from the mammary pedicle. The pedicle was attached in place with 5-0 prolene. The pericardium was loosely reapproximated with running vicryl. A blake drain was placed and the sternum was reapproximated with figure-of-eight sternal wires followed by closure of the rectus and pectoralis fascia, subdermal and subcuticular closure with dermabond for the skin.
I don't even know where to begin this is so frustrating
Does anyone what are some good sites where I can learn more about cardio coding please!!
I am trying to learn and teach myself in Cardio Coding not having much luck;( Its a off-pump Lima to Lad.
The internal mammary artery was dissected free from the chest wall. Upon completion, the patient was heparinized. The off-pump sternal retractor placed and the mammary pedicle was ligated. There had been no entrance into the left pleural space and a small tunnel was made into the pericardium. Three pericardial stitches were placed on the left side and a lap pad was placed behind the heart. The LAD was identified and a stabilization footplate was brought up and into position. A proximal occluding stitch was placed and the LAD was occluded. Arteriotomy was performed. A 1.75-mm shunt was attempted to be placed and did not fit proximally but did fit distally. The mammary pedicle was brought up and end-to-side anastomosis was performed with 8-0 prolene in a runnning fashion using the parachute technique. Upon completion, the shunt was removed. The bulldog was removed from the mammary pedicle. The pedicle was attached in place with 5-0 prolene. The pericardium was loosely reapproximated with running vicryl. A blake drain was placed and the sternum was reapproximated with figure-of-eight sternal wires followed by closure of the rectus and pectoralis fascia, subdermal and subcuticular closure with dermabond for the skin.
I don't even know where to begin this is so frustrating
Does anyone what are some good sites where I can learn more about cardio coding please!!