Results 1 to 3 of 3

Can 36245 be billed for Right Femoral Artery Angio

  1. #1
    Default Can 36245 be billed for Right Femoral Artery Angio
    Medical Coding Books
    PROCEDURE(S) PERFORMED:
    1. Left and right heart catheterization.
    2. Selective coronary angiography.
    3. Left ventriculogram.
    4. Fluoroscopy.
    5. Right femoral artery angiogram.
    6. 6-French Angio-Seal.

    PROCEDURE:
    After the informed consent was obtained, the patient was brought to the cardiac catheterization laboratory,
    and prepped and draped in the usual sterile fashion. The right femoral area was anesthetized with 10 mL of
    2% Xylocaine, and the right femoral artery was cannulated with a 6-French sheath using modified
    Seldinger technique. The 6-French FL4, 6-French FR4, and 6-French pigtail catheters were used to obtain
    multiple cineangiographic views of coronary anatomy, as well as left ventriculogram and hemodynamic
    data measurements. The right femoral vein was then cannulated with an 8-French sheath, and a 7-French
    Swan-Ganz catheter was used to cannulate the femoral vein and perform right heart catheterization. The
    catheters were then withdrawn. Right femoral angiogram was performed, and a 6-French Angio-Seal was
    used to obtain hemostasis. There were no complications. The patient was then transferred to his room in
    stable condition.

    HEMODYNAMICS:
    The left ventricular pressure was 140/26 mmHg. There was no significant gradient across the aortic valve
    on pullback. RIGHT HEART HEMODYNAMICS: The right atrial pressure was 4 mmHg, right ventricular
    pressure is 32/5 mmHg. The pulmonary capillary wedge pressure mean was 10 mmHg with 15 mm
    V-wave, and pulmonary artery pressure was 33/18 mmHg. The cardiac output was 3.3 L/minute bythermodilution, index was 1.7 L/minute per sq m.

    CORONARY ANATOMY:
    1. Left main coronary artery. The left main coronary artery originated from the left sinus of Valsalva
    and was free of significant obstructive disease.
    2. Left anterior descending coronary artery. The left anterior descending coronary artery originated
    from the left main coronary artery. The vessel was tortuous without significant obstructive disease.
    3. Left circumflex coronary artery. The left circumflex coronary artery originated from the left main
    coronary artery. The vessel was mildly diffusely diseased without significant obstructive stenosis.
    4. Right coronary artery. The right coronary artery originated from the right sinus of Valsalva and was
    widely patent, dominant with mild diffuse disease.
    5. Left ventriculogram. The left ventriculogram demonstrated a hyperdynamic left ventricular systolic
    function with estimated ejection fraction of 70%, and 3 to 4+ mitral regurgitation.

    IMPRESSION:
    1. No significant obstructive coronary artery disease.
    2. Hyperdynamic left ventricular systolic function with ejection fraction of 65% to 70%.
    3. 3 to 4+ mitral regurgitation.
    4. Moderately elevated left ventricular filling pressure and pulmonary artery pressure.

  2. #2
    Default
    No it can not be billed. It is part of the procedure.

    Marty

  3. #3
    Location
    Birmingham, Alabama
    Posts
    890
    Default
    Quote Originally Posted by Heresmichelle View Post
    PROCEDURE(S) PERFORMED:
    1. Left and right heart catheterization.
    2. Selective coronary angiography.
    3. Left ventriculogram.
    4. Fluoroscopy.
    5. Right femoral artery angiogram.
    6. 6-French Angio-Seal.

    PROCEDURE:
    After the informed consent was obtained, the patient was brought to the cardiac catheterization laboratory,
    and prepped and draped in the usual sterile fashion. The right femoral area was anesthetized with 10 mL of
    2% Xylocaine, and the right femoral artery was cannulated with a 6-French sheath using modified
    Seldinger technique. The 6-French FL4, 6-French FR4, and 6-French pigtail catheters were used to obtain
    multiple cineangiographic views of coronary anatomy, as well as left ventriculogram and hemodynamic
    data measurements. The right femoral vein was then cannulated with an 8-French sheath, and a 7-French
    Swan-Ganz catheter was used to cannulate the femoral vein and perform right heart catheterization. The
    catheters were then withdrawn. Right femoral angiogram was performed, and a 6-French Angio-Seal was
    used to obtain hemostasis. There were no complications. The patient was then transferred to his room in
    stable condition.

    HEMODYNAMICS:
    The left ventricular pressure was 140/26 mmHg. There was no significant gradient across the aortic valve
    on pullback. RIGHT HEART HEMODYNAMICS: The right atrial pressure was 4 mmHg, right ventricular
    pressure is 32/5 mmHg. The pulmonary capillary wedge pressure mean was 10 mmHg with 15 mm
    V-wave, and pulmonary artery pressure was 33/18 mmHg. The cardiac output was 3.3 L/minute bythermodilution, index was 1.7 L/minute per sq m.

    CORONARY ANATOMY:
    1. Left main coronary artery. The left main coronary artery originated from the left sinus of Valsalva
    and was free of significant obstructive disease.
    2. Left anterior descending coronary artery. The left anterior descending coronary artery originated
    from the left main coronary artery. The vessel was tortuous without significant obstructive disease.
    3. Left circumflex coronary artery. The left circumflex coronary artery originated from the left main
    coronary artery. The vessel was mildly diffusely diseased without significant obstructive stenosis.
    4. Right coronary artery. The right coronary artery originated from the right sinus of Valsalva and was
    widely patent, dominant with mild diffuse disease.
    5. Left ventriculogram. The left ventriculogram demonstrated a hyperdynamic left ventricular systolic
    function with estimated ejection fraction of 70%, and 3 to 4+ mitral regurgitation.

    IMPRESSION:
    1. No significant obstructive coronary artery disease.
    2. Hyperdynamic left ventricular systolic function with ejection fraction of 65% to 70%.
    3. 3 to 4+ mitral regurgitation.
    4. Moderately elevated left ventricular filling pressure and pulmonary artery pressure.

    No. Access and closure of access is included with the procedure.

    HTH
    Danny L. Peoples
    CIRCC,CPC

Similar Threads

  1. femoral artery occlusion
    By arizona1 in forum Diagnosis Coding
    Replies: 6
    Last Post: 08-24-2015, 04:11 AM
  2. R Subclavian artery angio
    By Robbin109 in forum Cardiology
    Replies: 6
    Last Post: 03-16-2015, 08:49 AM
  3. celiac artery angio & stent of sma angio
    By csorensen21@yahoo.com in forum Interventional Radiology
    Replies: 3
    Last Post: 01-28-2015, 07:08 PM
  4. angio/stent innominate artery
    By vkratzer in forum Cardiovascular Thoracic
    Replies: 4
    Last Post: 11-10-2010, 02:51 PM
  5. Artery pressures during an angio?
    By chembree in forum Interventional Radiology
    Replies: 2
    Last Post: 07-17-2009, 11:39 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.