Ettrsmith
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Pcmk change out with "serial dilation venoplasty to the left subclavian vein"
EP physician- changing out a pt's pcmk & adding a biv lead.
He dictated this:
Pre-op diagnosis: ischemic cardiomyopathy, EF37-44 %, 2nd AV block, subclavian stenosis
Procedure:
#1 left subclavian venography demonstration in the presence of tight 90% stenosis of the left subclavian vein
#2 serial dilation venoplasty to the left subclavian vein
#3 coronary sinus catheterization and angiography
#4 Balloon PTA to the posterolateral branch of the coronary sinus
He wrote the code 35476 which is deleted. I am questioning if he can bill for any of the above? He used theses techniques to get to & add the leads.
Thanks,
EP
EP physician- changing out a pt's pcmk & adding a biv lead.
He dictated this:
Pre-op diagnosis: ischemic cardiomyopathy, EF37-44 %, 2nd AV block, subclavian stenosis
Procedure:
#1 left subclavian venography demonstration in the presence of tight 90% stenosis of the left subclavian vein
#2 serial dilation venoplasty to the left subclavian vein
#3 coronary sinus catheterization and angiography
#4 Balloon PTA to the posterolateral branch of the coronary sinus
He wrote the code 35476 which is deleted. I am questioning if he can bill for any of the above? He used theses techniques to get to & add the leads.
Thanks,
EP
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