A woman with abdominal pain and bleeding has a diagnosis of…
A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found she has 5 separate intramural fibroid tumors. The fibroid tumors are successfully removed, with a total weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and ICD-10-CM codes reported for this service?
Read DetailsPREOPERATIVE DIAGNOSIS : Heart BlockPOSTOPERATIVE DIAGNOSIS:…
PREOPERATIVE DIAGNOSIS : Heart BlockPOSTOPERATIVE DIAGNOSIS: Heart BlockANESTHESIA: Local anesthesia NAME OF PROCEDURE: Reimplantation of dual chamber pacemakerDESCRIPTION: The chest was prepped with Betadine and draped in the usual sterile fashion. Local anesthesia was obtained by infiltration of 1% Xylocaine. A subfascial incision was made about 2.5 cm below the clavicle, and the old pulse generator was removed. Using the Seldinger technique, the subclavian vein was cannulated and through this, the old atrial lead was removed, and a new atrial lead (serial # 6662458) was placed in the right atrium and to the atrial septum. Thresholds were obtained as follows: The P-wave was 1.4 millivolts, atrial threshold was 1.6 millivolts with a resultant current of 3.5 mA and resistance of 467 ohms.Using a second subclavian stick in the Seldinger technique, the old ventricular lead was removed and a new ventricular lead (serial # 52236984) was inserted and placed into the right ventricular apex. The thresholds were obtained and were as follows: R-wave was 23.5 millivolts. The patient was pacing at 100% at 0.5 volts, with resultant current of 0.8 mA and resistance of 480 ohms. When we were satisfied with the thresholds, the leads were connected to the pacemaker generator (serial # 22561587), which was inserted into the previously created pocket.The wound was thoroughly irrigated with antibiotic solution and hemostasis was obtained. The incision was closed in layered fashion with 2-0 Dexon. A compressive dressing was applied, and the patient tolerated the procedure very well. He was taken to the recovery room in satisfactory condition. What CPT® codes are reported?
Read DetailsA 90-year-old female was admitted this morning from observat…
A 90-year-old female was admitted this morning from observation status for chest pain to r/o angina. A cardiologist performs a history and exam. Her chest pain has been relieved with the nitroglycerin drip given before admission and she would like to go home. Doctor has written prescriptions to add to her regimen. He had given her Isosorbide, and she is tolerating it well. After 10 hrs of observation, he will go ahead and send her home. We will follow up with her in a week. Patient was admitted and discharged on the same date of service. What CPT® code is reported?
Read DetailsA 70-year-old male presents with localized edema in his legs…
A 70-year-old male presents with localized edema in his legs. He has a history of hypertension and congestive heart failure and is currently on medication for both conditions. The provider ordered a complete venous duplex scan of his lower extremities. The femoral, superficial femoral, posterior tibial and popliteal veins were assessed. There was no evidence of thrombus. The study was normal. What CPT® and ICD-10-CM codes are reported?
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