cardiology101
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Very new to cardiology billing and would sincerely appreciate someones help with this report. I am going to try to code so help would be greatly appreciated.
PROCEDURE: LEFT HEART CATH W/LEFT VENTRICULOGRAM
DESCRIPTION: Groins prepped, right groin injected w/o complications. Using seldinger technique, 6 french sheath placed in right common femoral artery w/o complications. All exchanges were done over a wire. Judkins right and left catheters were then used to engage respective coronary ostia. The jl5 catheter was used to engage the left coronary ostia. Angiograms were performed multiple views. Following this over a wire, a pigtail was placed in the aorta and the aortic valve was crossed. Left ventriculgram and left ventricular end diastolic pressures were measured, pressures across aortic valve were measured. On retrograde pullback, there was no gradient noted across the aortic valve. Ending procedure, groin sheath was removed and manuel compression applied.
FINDINGS:
HEMODYNAMICS: The aortic pressure ranged from 112/60 to 121/63. Heart rate of 50
The left ventricular end diastolic pressure was 17 to 20 mm of mercury. No gradient across the aortic valve.
CORONARY ANATOMY: Left main large in caliber. It trifurcates into a left anterior descending artery, circulflex and a ramus.
LEFT ANTERIOR DESCENDING: Runs all the way down to the apex, gives a small size first diagonal and a moderate size second diagonal. There are mild luminal irregularities noted in the proximal left anterior descending. The mid to distal left anterior descending artery is diffusely diseased 40-50% and of small caliber. The ramus is small to moderate size branch with mild lumiunal irregularities.
CIRCUMFLEX ARTERY: The circumflex is dominant, gives off a small obtuse marginal 1 and a moderate to large obtuse marginal 2. The obtuse marginal 3 has diffuse 40-50% disease and is small caliber.
RIGHT CORONARY ARTERY: The right coronary artery is non dominant w/mild luminal irregularities.
LEFT VENTRICULOGRAM: This demonstrated an ejection fraction of 60-65% with tortuosity of the area.
Would I code 93452 Heart Cath and 93463?
And could you explain why or why not?
Thanks again
PROCEDURE: LEFT HEART CATH W/LEFT VENTRICULOGRAM
DESCRIPTION: Groins prepped, right groin injected w/o complications. Using seldinger technique, 6 french sheath placed in right common femoral artery w/o complications. All exchanges were done over a wire. Judkins right and left catheters were then used to engage respective coronary ostia. The jl5 catheter was used to engage the left coronary ostia. Angiograms were performed multiple views. Following this over a wire, a pigtail was placed in the aorta and the aortic valve was crossed. Left ventriculgram and left ventricular end diastolic pressures were measured, pressures across aortic valve were measured. On retrograde pullback, there was no gradient noted across the aortic valve. Ending procedure, groin sheath was removed and manuel compression applied.
FINDINGS:
HEMODYNAMICS: The aortic pressure ranged from 112/60 to 121/63. Heart rate of 50
The left ventricular end diastolic pressure was 17 to 20 mm of mercury. No gradient across the aortic valve.
CORONARY ANATOMY: Left main large in caliber. It trifurcates into a left anterior descending artery, circulflex and a ramus.
LEFT ANTERIOR DESCENDING: Runs all the way down to the apex, gives a small size first diagonal and a moderate size second diagonal. There are mild luminal irregularities noted in the proximal left anterior descending. The mid to distal left anterior descending artery is diffusely diseased 40-50% and of small caliber. The ramus is small to moderate size branch with mild lumiunal irregularities.
CIRCUMFLEX ARTERY: The circumflex is dominant, gives off a small obtuse marginal 1 and a moderate to large obtuse marginal 2. The obtuse marginal 3 has diffuse 40-50% disease and is small caliber.
RIGHT CORONARY ARTERY: The right coronary artery is non dominant w/mild luminal irregularities.
LEFT VENTRICULOGRAM: This demonstrated an ejection fraction of 60-65% with tortuosity of the area.
Would I code 93452 Heart Cath and 93463?
And could you explain why or why not?
Thanks again
