Please code the following; I am verfiying the codes our MD's have chosen for use.
Diag Procedure: Lt Hrt Cath, Rt Hrt Cath, coronary angiogram
PCI Procedure: Drug eluting coronary stent, ACT, closure device
Conclusions: Severe 3 vessel CAD with successful DES stents to proximal LAD and prox RCA both converted to 0%. Non acute OM2 branch of circ left alone. Rt Hrt cath pressures are all normal but cardiac output reflects LV dysfunction. See nuclear and Echo results. Normal rt hrt pressure imply the LV dysfunction is relatively new.
Angiographic Findings:
LMCA: Normal
LAD: Prox LAD: 95% stenosis 8 mm length reduced to 0%. Pre-procedure T1M1 flow was noted. A good run off was present. The lesion was diagnosed as a high risk lesion. Post Procedure: T1M1 III flow was present.
Devices Used: Abbott Voyager 2.5 X 12mm (Total duration: 30 seconds, two inflations to max pressure of: 14 ATM) Boston Scientific Promus 2.75 x 12 mm
(Total duration: 7 seconds, 1 inflation to max pressure : 16 ATM)
LCX: Moderate disease. 80% OM2 lesion treated conservatively
RCA: Prox RCA:99% stenosis 10mm length reduced to 0%. Pre-procedure T1M1 flow was noted. The lesion was diagnosed as a low risk lesion.
Post procedure T1M1 flow was present.
Devices used: Abbott Voyager 2.0 x 12mm
Catheters/Guides: Cordis 4.0 Fr JL 4.0 was used for LT Coronary Angiography, Cordis 4,0 Fr JR was used for Rt Coronary Angiography, Medtronic G-6 Fr EBU 4.0 was used for Lt coronary angiography, Medtronic G-6 Fr Jr EBU was used for Rt coronary angiography, Medtronic Gr Fr NOTO was used for Rt coronary angiography, Cordis 4.0 Fr Pigtail Angled ws used for LV Pressures, Cordis 4.0 Fr Jr was used for LV Pressures, Cordis 4.0 Fr Pigtail Angled was used for LV Pressures.
Pressure:
PCW-7/8(6)
PA- 25/7 (11)
RV-27/-1,2
RA- 4/1 (1)
AO - 117/63 (84)
LV - 126/-3, 16
LL - 124/-3,16
Thanks. It would be much appreciated by anyone.
Diag Procedure: Lt Hrt Cath, Rt Hrt Cath, coronary angiogram
PCI Procedure: Drug eluting coronary stent, ACT, closure device
Conclusions: Severe 3 vessel CAD with successful DES stents to proximal LAD and prox RCA both converted to 0%. Non acute OM2 branch of circ left alone. Rt Hrt cath pressures are all normal but cardiac output reflects LV dysfunction. See nuclear and Echo results. Normal rt hrt pressure imply the LV dysfunction is relatively new.
Angiographic Findings:
LMCA: Normal
LAD: Prox LAD: 95% stenosis 8 mm length reduced to 0%. Pre-procedure T1M1 flow was noted. A good run off was present. The lesion was diagnosed as a high risk lesion. Post Procedure: T1M1 III flow was present.
Devices Used: Abbott Voyager 2.5 X 12mm (Total duration: 30 seconds, two inflations to max pressure of: 14 ATM) Boston Scientific Promus 2.75 x 12 mm
(Total duration: 7 seconds, 1 inflation to max pressure : 16 ATM)
LCX: Moderate disease. 80% OM2 lesion treated conservatively
RCA: Prox RCA:99% stenosis 10mm length reduced to 0%. Pre-procedure T1M1 flow was noted. The lesion was diagnosed as a low risk lesion.
Post procedure T1M1 flow was present.
Devices used: Abbott Voyager 2.0 x 12mm
Catheters/Guides: Cordis 4.0 Fr JL 4.0 was used for LT Coronary Angiography, Cordis 4,0 Fr JR was used for Rt Coronary Angiography, Medtronic G-6 Fr EBU 4.0 was used for Lt coronary angiography, Medtronic G-6 Fr Jr EBU was used for Rt coronary angiography, Medtronic Gr Fr NOTO was used for Rt coronary angiography, Cordis 4.0 Fr Pigtail Angled ws used for LV Pressures, Cordis 4.0 Fr Jr was used for LV Pressures, Cordis 4.0 Fr Pigtail Angled was used for LV Pressures.
Pressure:
PCW-7/8(6)
PA- 25/7 (11)
RV-27/-1,2
RA- 4/1 (1)
AO - 117/63 (84)
LV - 126/-3, 16
LL - 124/-3,16
Thanks. It would be much appreciated by anyone.