MHATRAINING
Guest
PROCEDURE PERFORMED:
1. MODERATE IV SEDATION AND MONITORING
2. RADIAL ARTERY SHEATH PLACEMENT
3. RIGHT SUBCLAVIAN ARTERY ANGIOGRAM
4. LEFT HEART CATH
5. CORONARY ANGIOGRAM
6. LEFT VENTRICULAR ANGIOGRAM
7. MYNX CLOSURE
FINDINGS:
RIGHT RADIAL ARTERY ACCESS WAS OBTAINED AND THE CATHETER WAS ADVANCED TO THE RIGHT SUBCLAVIAN ARTERY BUT WOULD NOT GO INTO THE ASCENDING AORTIC ARCH. ANGIOGRAPHY WAS PERFORMED AND REVEALED A TRUE BOVINE BUT WOULD NOT GO INTO THE ASCENDING AORTIC ARCH. ANGIOGRAPHY WAS PERFORMED AND REVEALED A TRUE BOVINE AORTIC ARCH. THE RADIAL APPROACH WAS ABANDONED AND ATTENTION WAS TURNED TO THE RIGHT FEMORAL ARTERY.
AFTER 1% LIDOCAINE WAS ADMINISTERED FOR LOCAL ANESTHESIA, A MICROPUNCTURE TECHNIQUE WAS USED TO ACCESS THE FEMORAL ARTERY AND A 6 FR SHEATH WAS INSERTED. THE JL4/JR4 CATHERES WERE USED TO SELECTIVELY CANNULATE THE CORONARY ARTERIES AND LEFT VENTRICLE AND OBAIN ANGIOGRAPHIC IMAGES AND HEMODYNAMIC MEASUREMENTS.
AFTER THE CARDIAC PROCEDURE WAS COMPLETED, A 6FR ANGIOSEAL DEVICE WAS USED TO ACHIEVE HEMOSTASIS. MANUAL COMPRESSION WAS USED FOR HEMOSTASIS AT THE RIGHT RADIAL ARTERY ACCESS SITE. THE PATIENT TOLERATED HTE PROCEDURE WELL AND WAS TRANSFERRED TO THE RECOVERY ROOM IN STABLE CONDITION.
THIS IS WHAT I CAME UP WITH:
93458-26
36620-RT
36225-RT
99152
IM UNSURE WHETHER 36225-RT IS THE CORRECT CODING FOR SUBCLAVIAN ARTERY ANGIOGRAM.
1. MODERATE IV SEDATION AND MONITORING
2. RADIAL ARTERY SHEATH PLACEMENT
3. RIGHT SUBCLAVIAN ARTERY ANGIOGRAM
4. LEFT HEART CATH
5. CORONARY ANGIOGRAM
6. LEFT VENTRICULAR ANGIOGRAM
7. MYNX CLOSURE
FINDINGS:
RIGHT RADIAL ARTERY ACCESS WAS OBTAINED AND THE CATHETER WAS ADVANCED TO THE RIGHT SUBCLAVIAN ARTERY BUT WOULD NOT GO INTO THE ASCENDING AORTIC ARCH. ANGIOGRAPHY WAS PERFORMED AND REVEALED A TRUE BOVINE BUT WOULD NOT GO INTO THE ASCENDING AORTIC ARCH. ANGIOGRAPHY WAS PERFORMED AND REVEALED A TRUE BOVINE AORTIC ARCH. THE RADIAL APPROACH WAS ABANDONED AND ATTENTION WAS TURNED TO THE RIGHT FEMORAL ARTERY.
AFTER 1% LIDOCAINE WAS ADMINISTERED FOR LOCAL ANESTHESIA, A MICROPUNCTURE TECHNIQUE WAS USED TO ACCESS THE FEMORAL ARTERY AND A 6 FR SHEATH WAS INSERTED. THE JL4/JR4 CATHERES WERE USED TO SELECTIVELY CANNULATE THE CORONARY ARTERIES AND LEFT VENTRICLE AND OBAIN ANGIOGRAPHIC IMAGES AND HEMODYNAMIC MEASUREMENTS.
AFTER THE CARDIAC PROCEDURE WAS COMPLETED, A 6FR ANGIOSEAL DEVICE WAS USED TO ACHIEVE HEMOSTASIS. MANUAL COMPRESSION WAS USED FOR HEMOSTASIS AT THE RIGHT RADIAL ARTERY ACCESS SITE. THE PATIENT TOLERATED HTE PROCEDURE WELL AND WAS TRANSFERRED TO THE RECOVERY ROOM IN STABLE CONDITION.
THIS IS WHAT I CAME UP WITH:
93458-26
36620-RT
36225-RT
99152
IM UNSURE WHETHER 36225-RT IS THE CORRECT CODING FOR SUBCLAVIAN ARTERY ANGIOGRAM.