for the following report; would the correct codes be? thanks for your assistance!
93459, 36215, 36216,36216,75680,75710
After obtaining informed consent, the patient was transported in
the nonsedated condition to the cardiac catheterization suite. The
patient was prepped and draped in a sterile fashion. Lidocaine 2%
was used to infiltrate the skin and subcutaneous tissue overlying
the right common femoral artery. A #6 French introducer sheath
was placed in the right common femoral artery utilizing the
Seldinger technique. A #6 French multipurpose catheter was then
used to cross the aortic valve, measure end-diastolic pressure,
and pullback across the aortic valve. The multipurpose catheter
was used for left and right coronary angiography and saphenous
vein angiography. It was exchanged for a mammary catheter with
which we performed left subclavian angiography due to the presence
of a plaque at the origin of the left subclavian artery. Left
internal mammary angiography, left and right carotid angiography.
A Perclose was deployed in the right common femoral artery at
completion of the procedure with adequate achievement of
hemostasis after angiography demonstrated an arteriotomy above the
bifurcation suitable for closure device.
The right common carotid artery appears angiographically free of
significant plaquing. The right internal carotid artery appears
widely patent. The anterior, posterior, and middle cerebral
arteries are patent. There are right-to-left collaterals from the
right anterior cerebral artery to the left anterior cerebral
artery through the anterior communicating artery.
The left common carotid artery appears widely patent. The left
internal carotid artery has a tubular 40% stenosis.
LEFT SUBCLAVIAN ANGIOGRAPHY:
The left subclavian artery has a eccentric plaque at its origin
with a 50% stenosis. There is no significant gradient upon
pullback across the left subclavian artery suggesting this is not
a hemodynamically flow-limiting lesion.
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