Is it appropriate to bill 93458-26-59, 36200, 75630-26 or not enough information?
Left heart catheterization with ventriculography.
â€¢ Abdominal Aortogram with Bilateral Runoffs.
â€¢ Abdominal aortography.
INDICATIONS: Angina/MI: angina. Lower extremity: claudication.
â€¢ Coronary circulation:
â€¢ There was 2-vessel coronary artery disease (LAD and RCA).
â€¢ Proximal RCA: There was a 100 % stenosis.
â€¢ Cardiac structures:
â€¢ Global left ventricular function was normal. EF calculated by contrast ventriculography was 60 %.
â€¢ Right lower extremity vessels:
â€¢ Right common iliac: There was a 100 % stenosis at the site of a prior stent. Reconnects at the common femoral
â€¢ Right posterior tibial: There was a 100 % stenosis. There was two vessel runoff.
â€¢ Patient management should include medical treatment.
â€¢ Peripheral surgical revascularization. Will need Fem-Fem bypass.
Ventricles: There were no left ventricular global or regional wall motion abnormalities. Global left ventricular function was
normal. EF calculated by contrast ventriculography was 60 %.
Coronary circulation: The coronary circulation is right dominant. There was 2-vessel coronary artery disease (LAD and
RCA). Proximal LAD: There was a 50 % stenosis just after D1. Proximal RCA: There was a 100 % stenosis. Distal RCA:
The artery was supplied by heavy collaterals from the left.
Aorta: Abdominal aorta: The segment was normal in size. There was heavy atherosclerosis.
Abdominal vessels: Left renal: Normal. Right renal: Normal.
Left lower extremity vessels: Left common iliac: There was a 40 % stenosis at the site of a prior stent. There was three
Right lower extremity vessels: Right common iliac: There was a 100 % stenosis at the site of a prior stent. Reconnects
at the common femoral artery. Right posterior tibial: There was a 100 % stenosis. There was two vessel runoff.
1. Left femoral artery access. The puncture site was infiltrated with local anesthetic. The vessel was accessed using
the modified Seldinger technique.
2. Abdominal Aortogram with Bilateral Runoffs.
3. Abdominal aortography. A catheter was placed and contrast was injected.
1. No complications occurred during the cath lab visit.
I see :
I would not code catheter placement into the aorta, it is bundled with the heart cath.
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