iamlou
Networker
Hi Everyone,
Any ideas on how to code a procedure that wasn't done? Pt made it into the room, and Fentanyl was given; however, they couldn't proceed with the angiogram because of his heart rate. This is the dictated note:
Male with left lower extremity claudication, presents
for angiography and endovascular management.
TECHNIQUE: The patient was positioned on the angiography table. It was
found that the patient's heart rate was approximately 38-42 beats per
minute. The patient was asymptomatic with this heart rate. Previous notes
dating back to xxxx 2014 indicate a heart rate of 64 beats per minute.
The case was discussed with Dr. xxxx, and at his
recommendation, the procedure was postponed, and patient will be evaluated
by the cardiologist at xxx. A 12 lead EKG was ordered. The
patient and the patient's wife were instructed the issues at hand and after
the patient's cardiac status is cleared, the patient will be rescheduled
for endovascular intervention.
We've always been told that you only code as far as they got, which what we have is 75710-74 (do you agree?), but need a surgical code. Since we don't know what the cath placement would have been, we don't know what to use for this. Any thoughts/opinions are greatly appreciated.
Any ideas on how to code a procedure that wasn't done? Pt made it into the room, and Fentanyl was given; however, they couldn't proceed with the angiogram because of his heart rate. This is the dictated note:
Male with left lower extremity claudication, presents
for angiography and endovascular management.
TECHNIQUE: The patient was positioned on the angiography table. It was
found that the patient's heart rate was approximately 38-42 beats per
minute. The patient was asymptomatic with this heart rate. Previous notes
dating back to xxxx 2014 indicate a heart rate of 64 beats per minute.
The case was discussed with Dr. xxxx, and at his
recommendation, the procedure was postponed, and patient will be evaluated
by the cardiologist at xxx. A 12 lead EKG was ordered. The
patient and the patient's wife were instructed the issues at hand and after
the patient's cardiac status is cleared, the patient will be rescheduled
for endovascular intervention.
We've always been told that you only code as far as they got, which what we have is 75710-74 (do you agree?), but need a surgical code. Since we don't know what the cath placement would have been, we don't know what to use for this. Any thoughts/opinions are greatly appreciated.