daniel
True Blue
Also is there any recommendation on good websites or books so I can read up on this area of coding?
THIS IS MY SELECTION OF CODES. AM I CORRECT?
93015-Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report
78465-Myocardial perfusion imaging; tomographic (SPECT), multiple studies (including attenuation correction when performed), at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantification
78478-Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in addition to code for primary procedure)
78480-Myocardial perfusion study with ejection fraction (List separately in addition to code for primary procedure)
A9504-THALLIUM
J2785-LEXISCAN
PROCEDURE PERFORMED: Lexiscan thallium stress testing.
INDICATIONS FOR PROCEDURE: A 62-year-old female with a history of mitral valve disease.
PROCEDURE IN DETAIL: The patient was brought to the nuclear suite at which time rest dose of thallium was injected via peripheral vein followed by the rest scan images. For the stress portion a stress dose of Lexiscan was injected via peripheral vein followed by the stress scan and Myoview, followed by the stress scan images. There were no complications.
FINDINGS:
Hemodynamics. Resting blood pressure 120/90 with a heart rate of 69. During Lexiscan infusion blood pressure was 116/80 with a heart rate of 106. Resting EKG revealed sinus rhythm, otherwise normal EKG. During Lexiscan infusion there were no acute ST-T wave changes. No chest pain with exercise. No arrhythmia with exercise. Reason for termination was completion of protocol.
Gated wall motion analysis revealed a left ventricular ejection fraction of 58% without evidence of segmental wall motion abnormalities.
Perfusion images. SSS score of 9, SRS of 3, SDS of 6. Lung-heart ratio of 0.36. TID score of 1.31. Resting perfusion images showed a moderate area of inferior wall fixed defect. During stress there was partial reversibility of the same region.
IMPRESSION: Lexiscan thallium stress testing significant for:
Left ventricular ejection fraction of 58%.
Perfusion images significant for a moderate area of inferior wall fixed defect with partial reversibility during stress.
Thank You
Daniel,CPC
THIS IS MY SELECTION OF CODES. AM I CORRECT?
93015-Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report
78465-Myocardial perfusion imaging; tomographic (SPECT), multiple studies (including attenuation correction when performed), at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantification
78478-Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in addition to code for primary procedure)
78480-Myocardial perfusion study with ejection fraction (List separately in addition to code for primary procedure)
A9504-THALLIUM
J2785-LEXISCAN
PROCEDURE PERFORMED: Lexiscan thallium stress testing.
INDICATIONS FOR PROCEDURE: A 62-year-old female with a history of mitral valve disease.
PROCEDURE IN DETAIL: The patient was brought to the nuclear suite at which time rest dose of thallium was injected via peripheral vein followed by the rest scan images. For the stress portion a stress dose of Lexiscan was injected via peripheral vein followed by the stress scan and Myoview, followed by the stress scan images. There were no complications.
FINDINGS:
Hemodynamics. Resting blood pressure 120/90 with a heart rate of 69. During Lexiscan infusion blood pressure was 116/80 with a heart rate of 106. Resting EKG revealed sinus rhythm, otherwise normal EKG. During Lexiscan infusion there were no acute ST-T wave changes. No chest pain with exercise. No arrhythmia with exercise. Reason for termination was completion of protocol.
Gated wall motion analysis revealed a left ventricular ejection fraction of 58% without evidence of segmental wall motion abnormalities.
Perfusion images. SSS score of 9, SRS of 3, SDS of 6. Lung-heart ratio of 0.36. TID score of 1.31. Resting perfusion images showed a moderate area of inferior wall fixed defect. During stress there was partial reversibility of the same region.
IMPRESSION: Lexiscan thallium stress testing significant for:
Left ventricular ejection fraction of 58%.
Perfusion images significant for a moderate area of inferior wall fixed defect with partial reversibility during stress.
Thank You
Daniel,CPC