sslater
Networker
Can i code anything for this procedure? He returned later and had a successful stenting of the subclavian through the brachial. I just wasn't sure if there was anything i could code on this first procedure. Thank you.
BRIEF HISTORY: 52-year old white male who is having this test done
because probable left subclavian artery stenosis.
PROCEDURE: Aortogram and attempted left subclavian artery PTCA.
A. DYE USED: Less than 20 cc's of dye.
B. COMPLICATIONS: No acute or apparent complications.
C. PREMEDICATIONS: 25mg of p.o. Benadryl and 5mg of p.o. Valium.
D. TECHNIQUE: Modified Seldinger technique through the right femoral
artery.
E. CATHETERS: 6 French Shuttle sheath also used was a 5 French
guiding catheter to see if we could engage the left subclavian artery.
PROCEDURE: Of note, we did an aortogram. Left subclavian artery
appeared to be totally occluded.
So we tried to attempt to wire this. This was unsuccessful.
IMPRESSION:
Aortogram showed left subclavian artery was totally occluded. Wiring
was unsuccessful.
BRIEF HISTORY: 52-year old white male who is having this test done
because probable left subclavian artery stenosis.
PROCEDURE: Aortogram and attempted left subclavian artery PTCA.
A. DYE USED: Less than 20 cc's of dye.
B. COMPLICATIONS: No acute or apparent complications.
C. PREMEDICATIONS: 25mg of p.o. Benadryl and 5mg of p.o. Valium.
D. TECHNIQUE: Modified Seldinger technique through the right femoral
artery.
E. CATHETERS: 6 French Shuttle sheath also used was a 5 French
guiding catheter to see if we could engage the left subclavian artery.
PROCEDURE: Of note, we did an aortogram. Left subclavian artery
appeared to be totally occluded.
So we tried to attempt to wire this. This was unsuccessful.
IMPRESSION:
Aortogram showed left subclavian artery was totally occluded. Wiring
was unsuccessful.