daniel
True Blue
I'm new to this, are these the right selection
CPT 93510.26
CPT 93556.26
CPT 93555.26
CPT 93545
CPT 93543
DOES CPT 75710 fit into this, or is it included into CPT 93510.
PROCEDURE TITLE:
Cardiac catheterization.
PREPROCEDURE DIAGNOSES:
1. Shortness of breath.
2. Abnormal stress test.
POSTPROCEDURE DIAGNOSIS:
Mild coronary artery disease.
PROCEDURE IN DETAIL:
After informed and written consent was obtained. Patient was transferred to
catheterization laboratory. Right groin was prepped and draped in a sterile
manner. Using a 6-French sheath, the left and right coronary angiograms were
performed using 6-French catheters. Left ventricular angiogram was performed
using pigtail catheter. Right femoral angiogram was performed via the right
femoral arterial sheath. Angio-Seal was deployed. Patient tolerated the entire
procedure very well and there were no immediate complications arising from this
procedure.
FINDINGS:
Findings of the cardiac catheterization are as follows:
Hemodynamics: Left ventricular end-diastolic pressure was 9 mmHg. There was no
gradient across the aortic valve.
Left ventricular angiography: Normal left ventricular cavity. Normal left
ventricular contractility. Ejection fraction of 63%. No evidence of mitral
regurgitation or filling defect.
Left coronary angiogram: Left coronary angiogram revealed normal left main
coronary artery which bifurcates into left anterior descending and circumflex
artery. The left anterior descending artery is a moderately large caliber
vessel, 3.5-3.75 mm caliber proximally, with minor plaquing in the proximal
segment up to 20% to 30%. There is calcification noted in the proximal left
anterior descending artery. Mid and distal left anterior descending artery is
free from any significant luminal narrowing. The left anterior descending
artery wraps around the apex. Septals and diagonals are normal.
Circumflex artery: This is a large codominant vessel, approximately 4 mm in
caliber, which is free from any significant luminal narrowing.
Right coronary angiogram: Right coronary angiogram revealed large codominant
right coronary artery, at least 4 mm in caliber proximally. It has mild diffuse
disease in proximal, mid and distal segment, up to 25%. No evidence of
high-grade stenosis. Posterior descending and posterolateral branches are free
from luminal narrowing.
CONCLUSION:
Mild coronary artery disease.
RECOMMENDATIONS:
Medical management.
Thanks
Daniel,CPC
CPT 93510.26
CPT 93556.26
CPT 93555.26
CPT 93545
CPT 93543
DOES CPT 75710 fit into this, or is it included into CPT 93510.
PROCEDURE TITLE:
Cardiac catheterization.
PREPROCEDURE DIAGNOSES:
1. Shortness of breath.
2. Abnormal stress test.
POSTPROCEDURE DIAGNOSIS:
Mild coronary artery disease.
PROCEDURE IN DETAIL:
After informed and written consent was obtained. Patient was transferred to
catheterization laboratory. Right groin was prepped and draped in a sterile
manner. Using a 6-French sheath, the left and right coronary angiograms were
performed using 6-French catheters. Left ventricular angiogram was performed
using pigtail catheter. Right femoral angiogram was performed via the right
femoral arterial sheath. Angio-Seal was deployed. Patient tolerated the entire
procedure very well and there were no immediate complications arising from this
procedure.
FINDINGS:
Findings of the cardiac catheterization are as follows:
Hemodynamics: Left ventricular end-diastolic pressure was 9 mmHg. There was no
gradient across the aortic valve.
Left ventricular angiography: Normal left ventricular cavity. Normal left
ventricular contractility. Ejection fraction of 63%. No evidence of mitral
regurgitation or filling defect.
Left coronary angiogram: Left coronary angiogram revealed normal left main
coronary artery which bifurcates into left anterior descending and circumflex
artery. The left anterior descending artery is a moderately large caliber
vessel, 3.5-3.75 mm caliber proximally, with minor plaquing in the proximal
segment up to 20% to 30%. There is calcification noted in the proximal left
anterior descending artery. Mid and distal left anterior descending artery is
free from any significant luminal narrowing. The left anterior descending
artery wraps around the apex. Septals and diagonals are normal.
Circumflex artery: This is a large codominant vessel, approximately 4 mm in
caliber, which is free from any significant luminal narrowing.
Right coronary angiogram: Right coronary angiogram revealed large codominant
right coronary artery, at least 4 mm in caliber proximally. It has mild diffuse
disease in proximal, mid and distal segment, up to 25%. No evidence of
high-grade stenosis. Posterior descending and posterolateral branches are free
from luminal narrowing.
CONCLUSION:
Mild coronary artery disease.
RECOMMENDATIONS:
Medical management.
Thanks
Daniel,CPC