This is from the header of the note
PROCEDURE: Coronary artery bypass x3, left internal mammary
artery to left anterior descending anastomosis, saphenous to PLA
anastomosis, radial to OM1 anastomosis, left minimally invasive
radial artery harvest, right endoscopic saphenous vein harvest,
left upper lobe wedge lung biopsy of small pulmonary nodule,
right lower lobe wedge biopsy of small pulmonary nodule.
This is from the body of the op report itself
The chest was
entered through a midline sternotomy and the left internal
mammary artery harvested in the usual manner. The left internal
mammary artery was harvested from the level of the subclavian
vein and extended down past the bifurcation of the IMA. The
distal limb was left intact at this point and the pedicle was
wrapped in a papaverine-soaked sponge. The left lung was
palpated and inspected and explored for nodules that had been
identified on prior CT scans. A small left upper lobe pulmonary
nodule was identified. Additionally, the pleural surface had a
mildly irregular nodular appearance and biopsy was then
performed. A small nodule was grasped with ring forceps along
the free margin of the lung and using two firings of an Endo-GIA
stapler, a wedge biopsy was performed. The specimen sent to pathology for permanent section analysis. Next, an Ankeney
retractor was placed in the chest and the mediastinum exposed.
The thymic fat pad was incised at the level innominate vein and
the pericardium opened just to right of midline and T'd off at
the diaphragm and then suspended using six pericardial stay
stitches to create a pericardial well. The right pleural space
was entered and the right lung explored and an additional
pulmonary nodule that had been identified on prior CT scan was
identified and grasped with ring forceps along the free margin of
the lung and an additional biopsy taken using 3 firings of an
Endo-GIA stapler. Additionally, the right lung did appear to
have a similar slightly irregular nodular appearance of the
pleural surface. Specimen was sent to pathology for permanent
section analysis.
The procedure in question is 32500, is it supported or not?
Thanks
Laura, CPC, CPMA, CEMC
PROCEDURE: Coronary artery bypass x3, left internal mammary
artery to left anterior descending anastomosis, saphenous to PLA
anastomosis, radial to OM1 anastomosis, left minimally invasive
radial artery harvest, right endoscopic saphenous vein harvest,
left upper lobe wedge lung biopsy of small pulmonary nodule,
right lower lobe wedge biopsy of small pulmonary nodule.
This is from the body of the op report itself
The chest was
entered through a midline sternotomy and the left internal
mammary artery harvested in the usual manner. The left internal
mammary artery was harvested from the level of the subclavian
vein and extended down past the bifurcation of the IMA. The
distal limb was left intact at this point and the pedicle was
wrapped in a papaverine-soaked sponge. The left lung was
palpated and inspected and explored for nodules that had been
identified on prior CT scans. A small left upper lobe pulmonary
nodule was identified. Additionally, the pleural surface had a
mildly irregular nodular appearance and biopsy was then
performed. A small nodule was grasped with ring forceps along
the free margin of the lung and using two firings of an Endo-GIA
stapler, a wedge biopsy was performed. The specimen sent to pathology for permanent section analysis. Next, an Ankeney
retractor was placed in the chest and the mediastinum exposed.
The thymic fat pad was incised at the level innominate vein and
the pericardium opened just to right of midline and T'd off at
the diaphragm and then suspended using six pericardial stay
stitches to create a pericardial well. The right pleural space
was entered and the right lung explored and an additional
pulmonary nodule that had been identified on prior CT scan was
identified and grasped with ring forceps along the free margin of
the lung and an additional biopsy taken using 3 firings of an
Endo-GIA stapler. Additionally, the right lung did appear to
have a similar slightly irregular nodular appearance of the
pleural surface. Specimen was sent to pathology for permanent
section analysis.
The procedure in question is 32500, is it supported or not?
Thanks
Laura, CPC, CPMA, CEMC