sreeja
New
hi,
can anybody guide me in coding this following documentation:
The risks, benefits and alternatives to the procedure were
explained to the patient's healthcare proxy. Health care proxy
understood and gave informed consent. The patient was placed
supine on the angiography table.
Limited sonography of the right upper arm was performed
demonstrating a patent right basilic vein. Under real time
ultrasound guidance, the right basilic vein was punctured with a
21 gauge needle. A 0.018 inch guidewire was inserted through the
needle which was exchanged for a 4.5 French peel-away sheath. A 4
French single lumen PICC catheter was inserted through the
peel-away sheath and advanced. The catheter tip was positioned at
the junction of the superior vena cava and the right atrium. The
peel-away sheath was removed. The catheter was flushed with
saline solution and secured to the skin with 3-0 prolene sutures.
A sterile dressing was applied.
The patient tolerated the procedure well and no complications were
encountered.
Impression:
4 French single lumen Bard power peripherally inserted central
venous catheter inserted by a right basilic vein approach.
Catheter length is 40 cm.
can anybody guide me in coding this following documentation:
The risks, benefits and alternatives to the procedure were
explained to the patient's healthcare proxy. Health care proxy
understood and gave informed consent. The patient was placed
supine on the angiography table.
Limited sonography of the right upper arm was performed
demonstrating a patent right basilic vein. Under real time
ultrasound guidance, the right basilic vein was punctured with a
21 gauge needle. A 0.018 inch guidewire was inserted through the
needle which was exchanged for a 4.5 French peel-away sheath. A 4
French single lumen PICC catheter was inserted through the
peel-away sheath and advanced. The catheter tip was positioned at
the junction of the superior vena cava and the right atrium. The
peel-away sheath was removed. The catheter was flushed with
saline solution and secured to the skin with 3-0 prolene sutures.
A sterile dressing was applied.
The patient tolerated the procedure well and no complications were
encountered.
Impression:
4 French single lumen Bard power peripherally inserted central
venous catheter inserted by a right basilic vein approach.
Catheter length is 40 cm.