Question

code in ICD-pcs-10 please.

18. Operative Report Do not code imaging in this case. DIAGNOSIS: PROCEDURES PERFORMED: NSTEMI 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 OF PROCEDURE: The NOE PROCEDURE: The patient arrived to the cardiac catheterization lab with evidence of protein cardial infarction. The right groin was prepped in normal sterilization technique. A back aducer catheter was placed in the right femoral artery using Seldinger technique, ludkins technique used for coronary angiography. CORONARY ANGIOGRAPHY: Left main bifurcates into LAD and left circumflex. The left main is extremely short. The left circumflex is occluded. The LAD has a tight hazy-looking lesion in the range about 85%-90%. Right coronary artery is dominant with an 85% mid lesion. ANGIOPLASTY OF THE LEFT CIRCUMFLEX ARTERY: The guide was an XB 3.5 guide. I star putting it in the left main and I started with the angioplasty immediately. The w on is a very large vessel, with a huge obtuse marginal. Thrombectomy was done in the une angioplasty immediately. The wire was pushed across the left circumflex artery, which is

Answer 1

1. Principal Diagnosis- Posterior Wall Myocardial Infarction

2. Additional Diagnosis- Post Coronary Angioplasty

3. Principal Procedure- Cardiac Catheterization

4. Secondary Procedure-

                                  a) Coronary Angiography

                                  b) Angioplasty of Left Circumflex Artery with thrombectomy

                                   c) Stenting angioplasty of LAD

                                    d) Angioplasty of RCA