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CABG Lima to Lad

  1. Default CABG Lima to Lad
    Medical Coding Books
    Will someone please help me code a operative report please I am trying to learn and teach myself in Cardio Coding not having much luck;(

    Its a off-pump Lima to Lad.

    The internal mammary artery was dissected free from the chest wall. Upon completion, the patient was heparinized. The off-pump sternal retractor placed and the mammary pedicle was ligated. There had been no entrance into the left pleural space and a small tunnel was made into the pericardium. Three pericardial stitches were placed on the left side and a lap pad was placed behind the heart. The LAD was identified and a stabilization footplate was brought up and into position. A proximal occluding stitch was placed and the LAD was occluded. Arteriotomy was performed. A 1.75-mm shunt was attempted to be placed and did not fit proximally but did fit distally. The mammary pedicle was brought up and end-to-side anastomosis was performed with 8-0 prolene in a runnning fashion using the parachute technique. Upon completion, the shunt was removed. The bulldog was removed from the mammary pedicle. The pedicle was attached in place with 5-0 prolene. The pericardium was loosely reapproximated with running vicryl. A blake drain was placed and the sternum was reapproximated with figure-of-eight sternal wires followed by closure of the rectus and pectoralis fascia, subdermal and subcuticular closure with dermabond for the skin.

    I don't even know where to begin this is so frustrating

    Does anyone what are some good sites where I can learn more about cardio coding please!!

  2. Default
    There is no code for off pump bypass at this time. Since only the mammary was used you would just code 33533.

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