amym
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What code would I use to bill the Venogram during right heart cath? 75820-26?
PROCEDURES PERFORMED:
-- Saphenous vein graft angiography.
-- Right Heart Catherization- Nitric Oxide.
RECOMMENDATIONS:
Venogram: no SVC thrombus
Normal right sided pressures
INDICATIONS: Pulomnary HTN
HEMODYNAMICS: Hemodynamic assessment demonstrates normal LVEDP, normal
cardiac output, and normal pulmonary capillary wedge pressure. There is
borderline pulmonary hypertension.
PROCEDURE: The risks and alternatives of the procedures and conscious
sedation were explained to the patient and informed consent was obtained.
The patient was brought to the cath lab and placed on the table. The
planned puncture sites were prepped and draped in the usual sterile
fashion.
-- Right femoral vein access. The puncture site was infiltrated with
local anesthetic. The vessel was accessed using the modified Seldinger
technique, a wire was threaded into the vessel, and a sheath was advanced
over the wire into the vessel.
-- Saphenous vein graft angiography. A catheter was advanced to the aorta
and positioned at the aortic anastomosis of the graft under fluoroscopic
guidance. Angiography was performed in multiple projections using
hand-injection of contrast.
-- Right Heart Catherization- Nitric Oxide..
MEDICATIONS GIVEN:
CONTRAST GIVEN:
Omnipaque 50 ml.
STUDY DIAGRAM
HEMODYNAMIC TABLES
Pressures: Baseline
Pressures: - HR: 68
Pressures: - Rhythm:
Pressures: -- Pulmonary Artery (S/D/M): 29/12/21
Pressures: -- Pulmonary Capillary Wedge: 8/11/8
Pressures: -- Right Atrium (a/v/M): --/--/511
Pressures: -- Right Ventricle (s/edp): 29/6/--
Outputs: Baseline
Outputs: -- CALCULATIONS: Age in years: 25.80
Outputs: -- CALCULATIONS: Body Surface Area: 1.45
Outputs: -- CALCULATIONS: Height in cm: 152.00
Outputs: -- CALCULATIONS: Sex: Female
Outputs: -- CALCULATIONS: Weight in kg: 50.00
PROCEDURES PERFORMED:
-- Saphenous vein graft angiography.
-- Right Heart Catherization- Nitric Oxide.
RECOMMENDATIONS:
Venogram: no SVC thrombus
Normal right sided pressures
INDICATIONS: Pulomnary HTN
HEMODYNAMICS: Hemodynamic assessment demonstrates normal LVEDP, normal
cardiac output, and normal pulmonary capillary wedge pressure. There is
borderline pulmonary hypertension.
PROCEDURE: The risks and alternatives of the procedures and conscious
sedation were explained to the patient and informed consent was obtained.
The patient was brought to the cath lab and placed on the table. The
planned puncture sites were prepped and draped in the usual sterile
fashion.
-- Right femoral vein access. The puncture site was infiltrated with
local anesthetic. The vessel was accessed using the modified Seldinger
technique, a wire was threaded into the vessel, and a sheath was advanced
over the wire into the vessel.
-- Saphenous vein graft angiography. A catheter was advanced to the aorta
and positioned at the aortic anastomosis of the graft under fluoroscopic
guidance. Angiography was performed in multiple projections using
hand-injection of contrast.
-- Right Heart Catherization- Nitric Oxide..
MEDICATIONS GIVEN:
CONTRAST GIVEN:
Omnipaque 50 ml.
STUDY DIAGRAM
HEMODYNAMIC TABLES
Pressures: Baseline
Pressures: - HR: 68
Pressures: - Rhythm:
Pressures: -- Pulmonary Artery (S/D/M): 29/12/21
Pressures: -- Pulmonary Capillary Wedge: 8/11/8
Pressures: -- Right Atrium (a/v/M): --/--/511
Pressures: -- Right Ventricle (s/edp): 29/6/--
Outputs: Baseline
Outputs: -- CALCULATIONS: Age in years: 25.80
Outputs: -- CALCULATIONS: Body Surface Area: 1.45
Outputs: -- CALCULATIONS: Height in cm: 152.00
Outputs: -- CALCULATIONS: Sex: Female
Outputs: -- CALCULATIONS: Weight in kg: 50.00