Question

Format for each case:

1. Principal Diagnosis (list only do not code)

2. Additional Diagnosis (list if applicable, do not code)

3. Principal Procedure: List and code

4. Secondary Procedures: List and code

18. Operative Report Do not code in DIAGNOSIS: at code imaging in this case. NSTEMI POCEDURES PERFORMED: 1. Thrombectomy of the left circumflex artery 2. Stenting angioplasty of the left circumflex artery 3. Stenting angioplasty of the LAD 4. Stenting angioplasty of the RCA 5. Coronary angiography DESCRIPTION OR PTION OF PROCEDURE: The patient arrived to the cardiacat ent arrived to the cardiac catheterization lab with evidence of posterior cardial infarction. The right groin was prepped in normal sterilization technique. A 6-F ucer catheter was placed in the right fem al artery using Seldinger technique. Judkins technique was ed for coronary angiography. introducer cath CORONARY ANG The left circumflexis MARY ANGIOGRAPHY: Left main bifurcates into LAD and left circumflex. The left main is extremely short. circumflex is occluded. The LAD has a tight hazy-looking lesion in the range about 85%-90%. Right nary artery is dominant with an 85% mid lesion ANGIOPLASTY OF putting it in the left circumflex artery. LASTY OF THE LEFT CIRCUMFLEX ARTERY: The guide was a FLEX ARTERY: The guide was an XB 3.5 guide. I started the procedure by it in the left main and I started with the angioplasty immediately. The wire was pushed across the left artery, which is a very large vessel, with a huge obtuse marginal. Thrombectomy was done in the

Answer 1

1. Principal Diagnosis -NSTEMI (Non- ST Elevation Myocardial Infarction)

2. Additional Diagnosis - NIL

3. Principal Procedure - Stenting Angioplasty

ICD- 10 PCS code - 027034Z

4. Secondary Procedure - Coronary Angiography

Fluoroscopy, Artery, Coronary, Multiple

ICD- 10 PCS code - B2111ZZ

Thrombectomy of the left circumflex artery

CPT code - 37184