brandyleigh23
Networker
I am having some trouble with coding this report, can someone help me?
HISTORY OF PRESENT ILLNESS: Ms. X is a pleasant woman who has had significant hypertension. She has had a recent cardiac catheterization. She is suspected of having a possible signigicant renal artery stenosis. She is referred for a diagnostic and interventional study to try to evaluate her renal status.
PROCEDURE NOTE:
The patient was prepped and draped in the usual manner. The right femoral artery was punctured by the Selinger technique. A 6 French sheath was intorduced in the right femoral artery. Through this sheath, a 6 French LIMA guiding catheter was used to engage the left renal artery. Selective angiogram of the left renal artery was performed. The catheter was also used to do a selective angiogram of the right renal artery.
After identification of a significant stenosis in the right renal artery, a 0.014 Spartacore wire was advanced across the stenosis in the right renal artery. Over this wire, a 4 mm x 2 cm balloon was used to dilate the lesion. Subsequent to this , a 4.5 mm x 18 mm Genesis stent was positioned across the stenosis and depolyed.
Closing agiography was performed.
An angiogram of the right lower extremity was also performed. The catheter was removed at that time.
*Here are the codes I am using for this report. Can someone please let me know if I am right or if I need to change some things... I am coding in an office for my doc that performed this at the hospital. Thank you to anyone that can offer advice!
36245-59 x2
75724-26-59
35471
75966-26
37205
75960-26
Brandy Edmondson, CPC
HISTORY OF PRESENT ILLNESS: Ms. X is a pleasant woman who has had significant hypertension. She has had a recent cardiac catheterization. She is suspected of having a possible signigicant renal artery stenosis. She is referred for a diagnostic and interventional study to try to evaluate her renal status.
PROCEDURE NOTE:
The patient was prepped and draped in the usual manner. The right femoral artery was punctured by the Selinger technique. A 6 French sheath was intorduced in the right femoral artery. Through this sheath, a 6 French LIMA guiding catheter was used to engage the left renal artery. Selective angiogram of the left renal artery was performed. The catheter was also used to do a selective angiogram of the right renal artery.
After identification of a significant stenosis in the right renal artery, a 0.014 Spartacore wire was advanced across the stenosis in the right renal artery. Over this wire, a 4 mm x 2 cm balloon was used to dilate the lesion. Subsequent to this , a 4.5 mm x 18 mm Genesis stent was positioned across the stenosis and depolyed.
Closing agiography was performed.
An angiogram of the right lower extremity was also performed. The catheter was removed at that time.
*Here are the codes I am using for this report. Can someone please let me know if I am right or if I need to change some things... I am coding in an office for my doc that performed this at the hospital. Thank you to anyone that can offer advice!
36245-59 x2
75724-26-59
35471
75966-26
37205
75960-26
Brandy Edmondson, CPC
