Medical Coding

Abdominal aortogram. The right groin was prepped and draped in the usual fashion. Seldinger technique was used to enter the femoral artery. A 6-French sheath was placed. A pigtail catheter was introduced in the upper abdominal aorta, and an AP aortogram was done using the DSA cut film technique using 20 cc of Omnipaque. Results: The abdominal aorta appears mildly irregular above and below the renal arteries, with no significant stenosis. (Separate the codes with a comma in your response as follows: YOOO (X.) CPT codes: (surgery code) 36200, (Radiology code) 75625-26

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The physician repairs a large laceration of the diaphragm that occurred during a car accident from the seat belt the patient was wearing through a transabdominal approach. code: 39501 Mr. O’Brien presents to his cardiologist’s office complaining of chest pain. Dr. McCoy, the cardiologist, decides to obtain a cardiovascular stress test. Because Dr. McCoy’s office does not have the proper equipment to perform this test, he sends Mr. O’Brien stress test as well as provides his interpretation and written report. Report Dr. McCoy’s service. Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) CPT codes: 93016, 93018 Right and left heart catheterization, selective coronary angiography, and left ventriculogram. The patient was prepped and draped in the usual sterile fashion and sedation was administered for a total of fentanyl, 25 mcg ‘V, and Versed, 0. 5 mg ‘V. One percent lidocaine was infused in the right groin and a 7-French sheath was inserted in the right femoral artery. A 7-French Swan-Ganz catheter was advanced through the right heart chambers and into the pulmonary artery.

After pulmonary capillary wedge pressure and pulmonary artery pressures were obtained, hermodilution cardiac outputs were measured. The Swan-Ganz catheter was then pulled back to the right heart chambers prior to removal. Selective coronary angiography was then performed. A 6-French JL4 catheter was used for selective angiography of the left coronary artery and right coronary artery. A 6-French pigtail catheter was used for RAO left ventriculogram using a hand injection. Following the procedure, the sheaths were removed and hemostasis was achieved using VasoSeal. The patient tolerated the procedure well without complications.

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