Pillow1
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Co-surgeon coding help!!
Help with coding for DR. B>> we would like to use :
34802-62
34812-62
36200
75952
I apprecitate any feedback, thank you in advance.
SURGEON (CO-SURGEON) #1 DR. A's REPORT
DATE OF SERVICE: 01/20/2010
PREOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
POSTOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
PROCEDURE: Bilateral femoral artery exploration and repair, abdominal aortic
stenting.
SURGEON: **DR. A*** M.D.
CARDIOLOGIST/CO-SURGEON:**Dr. B***
ANESTHESIA: General.
OPERATION: The patient was taken to the operating room and prepped in the usual manner with DuraPrep and draped in the usual manner. An oblique
incision was made over the common femoral artery incising the common femoral vessel with the _____ . Using the Seldinger technique, we entered the common femoral arteries bilaterally, passed a pigtail catheter over Benson wires in the suprarenal aorta, performed an aortogram and Dr. B came in, we upgraded our sheaths from 7-Frenchs, and he continued to deploy the main body of the stent and its limb and ballooned the stent and its limbs, obtained a completion arteriogram. We had bilateral large sheaths in both groins.
Patient had been heparinized, and we removed them and closed the arteriotomies in a running 5-0 Prolene cardiovascular suture, closed with the subcutaneous with 2-0 Vicryl subcuticular stitch and skin clips.
_________________________
DR.A******, MD
CARDIOLOGIST (CO SURGEON # 2) DR. B's OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
POSTOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
PROCEDURE: Endovascular closure/exclusion of an abdominal aortic aneurysm.
SURGEON OF RECORD: Dr. A
CARDIOLOGIST OF RECORD: Dr. B
OPERATIVE REPORT: Patient was prepped and draped in the usual sterile fashion after which Dr. A performed surgical cutdowns of both femoral regions and sheaths were placed. An angiogram was performed, showed and confirmed the infrarenal abdominal aortic aneurysm. Next, the sheaths were exchanged for large sheaths on both groins. The Gore Excluder device was then deployed. It was a 26 x 14 x 12 via the right common femoral region into the abdominal aortic region. On the contralateral limb, an 18.5 x 9.5 cm length contralateral limb was placed. They were inflated with the usual balloon and followup angiography showed no evidence of endoleaks with good apposition.
After which, Dr. A performed the closure.
IMPRESSION:
1. Infrarenal abdominal aortic aneurysm.
2. Successful closure of the infrarenal abdominal aortic aneurysm with Gore
Excluder device. The main trunk was a 26 x 14 x 12 and the contralateral limb
was an 18.5 x 9.5.
3. No endoleaks or complications noted.
_________________________
DR. B***, MD
Help with coding for DR. B>> we would like to use :
34802-62
34812-62
36200
75952
I apprecitate any feedback, thank you in advance.
SURGEON (CO-SURGEON) #1 DR. A's REPORT
DATE OF SERVICE: 01/20/2010
PREOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
POSTOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
PROCEDURE: Bilateral femoral artery exploration and repair, abdominal aortic
stenting.
SURGEON: **DR. A*** M.D.
CARDIOLOGIST/CO-SURGEON:**Dr. B***
ANESTHESIA: General.
OPERATION: The patient was taken to the operating room and prepped in the usual manner with DuraPrep and draped in the usual manner. An oblique
incision was made over the common femoral artery incising the common femoral vessel with the _____ . Using the Seldinger technique, we entered the common femoral arteries bilaterally, passed a pigtail catheter over Benson wires in the suprarenal aorta, performed an aortogram and Dr. B came in, we upgraded our sheaths from 7-Frenchs, and he continued to deploy the main body of the stent and its limb and ballooned the stent and its limbs, obtained a completion arteriogram. We had bilateral large sheaths in both groins.
Patient had been heparinized, and we removed them and closed the arteriotomies in a running 5-0 Prolene cardiovascular suture, closed with the subcutaneous with 2-0 Vicryl subcuticular stitch and skin clips.
_________________________
DR.A******, MD
CARDIOLOGIST (CO SURGEON # 2) DR. B's OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
POSTOPERATIVE DIAGNOSIS: Abdominal aortic aneurysm.
PROCEDURE: Endovascular closure/exclusion of an abdominal aortic aneurysm.
SURGEON OF RECORD: Dr. A
CARDIOLOGIST OF RECORD: Dr. B
OPERATIVE REPORT: Patient was prepped and draped in the usual sterile fashion after which Dr. A performed surgical cutdowns of both femoral regions and sheaths were placed. An angiogram was performed, showed and confirmed the infrarenal abdominal aortic aneurysm. Next, the sheaths were exchanged for large sheaths on both groins. The Gore Excluder device was then deployed. It was a 26 x 14 x 12 via the right common femoral region into the abdominal aortic region. On the contralateral limb, an 18.5 x 9.5 cm length contralateral limb was placed. They were inflated with the usual balloon and followup angiography showed no evidence of endoleaks with good apposition.
After which, Dr. A performed the closure.
IMPRESSION:
1. Infrarenal abdominal aortic aneurysm.
2. Successful closure of the infrarenal abdominal aortic aneurysm with Gore
Excluder device. The main trunk was a 26 x 14 x 12 and the contralateral limb
was an 18.5 x 9.5.
3. No endoleaks or complications noted.
_________________________
DR. B***, MD