cardiology101
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Again new to cardiology, I will try to code this but am in need of some help I'm sure.
PROCEDURE: L/HRT CATH W/L VENTRICULOGRAM
IVUS EVAL OF L.ANTERIOR DESCENDING PRE/POST STENTING
PTCA/STENTING MIDE LEFT ANTERIOR DESCENDING
INTRACORONARY NITROGLYCERIN INJECTIONS DURING PROCEDURE
DESCRIPTION: Lidocaine injected into right groin w/o complications. Sedlinger technique,
6 french sheath was placed in right common femoral artery w/o
complications. Exchanges were done over a wire. Judkins right
and left catheters were then used to engage the coronary ostia.
Judkins JL-5cm catheter was required to engage left main.
Pigtail placed in the aorta over a wire and the aortic valve was
crossed. Left ventriculogram and left ventricular end diatolic
pressure was measured. The gradient across the aortic valve
was measured. Angio seal closure device was used to close
the right groin w/o complications.
HEMODYNAMIC: BP ranged from 149/87 to 108/60 and HR was 70. No gradient
across aortic valve on retrograde pullback.
INTERVENTIONAL PROCEDURE: Confirming an intermediate 60% lesion in the left
anterior descending, began to proceed with an
intravascular ultrasound eval of this lesion. Done
with intravenous heparin . The IVUS
demonstrated a cross sectional area @ the
tighest portion of 3.1 to 3.3mm sq 65% stenosis.
Proceeded with angioplasty and stenting of this
lesion. EBU 4.5 quide was used over a floppy wire,
since already present. Angioplastied the lesion
using 3.0 x 12 angioplasty balloon. Following a 3.0 x 15
Xience stent deployed to high atmospheric pressure.
Lesion postdilated using 3.0 x10 mm postdilation
noncompliant balloon. Final IVUS showed excellent
stent expansion. no evidence of proximal or distal
dissection and final cross sectional are of 5.9 mm sq.
Here is my analysis:
L/HRT CATH W/L VENTRICULOGRAM............93452-59
IVUS..........................................................37250-59
PTCA L/ANTERIOR DESCENDING...................92982-LD
STENTING L/ANTERIOR DESCENDING............92980-LD
INTRACORONAY NITROGLYCERIN INJ............37202-59
Again you help is greatly appreciated.
PROCEDURE: L/HRT CATH W/L VENTRICULOGRAM
IVUS EVAL OF L.ANTERIOR DESCENDING PRE/POST STENTING
PTCA/STENTING MIDE LEFT ANTERIOR DESCENDING
INTRACORONARY NITROGLYCERIN INJECTIONS DURING PROCEDURE
DESCRIPTION: Lidocaine injected into right groin w/o complications. Sedlinger technique,
6 french sheath was placed in right common femoral artery w/o
complications. Exchanges were done over a wire. Judkins right
and left catheters were then used to engage the coronary ostia.
Judkins JL-5cm catheter was required to engage left main.
Pigtail placed in the aorta over a wire and the aortic valve was
crossed. Left ventriculogram and left ventricular end diatolic
pressure was measured. The gradient across the aortic valve
was measured. Angio seal closure device was used to close
the right groin w/o complications.
HEMODYNAMIC: BP ranged from 149/87 to 108/60 and HR was 70. No gradient
across aortic valve on retrograde pullback.
INTERVENTIONAL PROCEDURE: Confirming an intermediate 60% lesion in the left
anterior descending, began to proceed with an
intravascular ultrasound eval of this lesion. Done
with intravenous heparin . The IVUS
demonstrated a cross sectional area @ the
tighest portion of 3.1 to 3.3mm sq 65% stenosis.
Proceeded with angioplasty and stenting of this
lesion. EBU 4.5 quide was used over a floppy wire,
since already present. Angioplastied the lesion
using 3.0 x 12 angioplasty balloon. Following a 3.0 x 15
Xience stent deployed to high atmospheric pressure.
Lesion postdilated using 3.0 x10 mm postdilation
noncompliant balloon. Final IVUS showed excellent
stent expansion. no evidence of proximal or distal
dissection and final cross sectional are of 5.9 mm sq.
Here is my analysis:
L/HRT CATH W/L VENTRICULOGRAM............93452-59
IVUS..........................................................37250-59
PTCA L/ANTERIOR DESCENDING...................92982-LD
STENTING L/ANTERIOR DESCENDING............92980-LD
INTRACORONAY NITROGLYCERIN INJ............37202-59
Again you help is greatly appreciated.