LOCATION: Inpatient, Hospital
PATIENT: Hannah Halter
ATTENDING/ADMIT PHYSICIAN: Frank Gaul, M.D.
SURGEON: Marvin Elhart, M.D.
PREOPERATIVE DIAGNOSES: Diabetes insipidus. Difficulty with IV access plus difficulty with fluid balance.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Right heart catheterization with Swan–Ganz catheter.
DESCRIPTION OF PROCEDURE: After Betadine scrub to the right subclavian vein area, the internal jugular Swan was
removed and the area was then anesthetized with 8 cc of 1% lidocaine. Once this was accomplished with a one-pass
maneuver, the subclavian vein was cannulated. Once that was in place, the guidewire was inserted through the needle. The
needle was removed, and then the tissue dilator and sheath were pushed into position over the guidewire. Once this was in
position, the wire and the tissue dilator were removed and the Swan–Ganz catheter advanced. The CVP pressure and RA
pressure were 7, RV pressure was 36/5, mean of 18, PA pressure was 35/18, mean of 23, and wedge pressure was 10. We
will get a cardiac index output later, and we will check a chest x-ray to make sure we have good placement.
There was scant bleeding and no observable complications.
ICD 10 code, CPT, HCPCS
CPT code is current procedural terminology . It is used to code the procedures by the health care workers and is also used by insurance company people to represent a procedure for reimbursement purpose .
CPT code for Right heart catheterization with Swan -gans catheter is 93503 . It includes :-
- anesthesia
- insertion of flow directed catheter
- recording of intravascular and intracardiac pressure
- obtaining blood samples
- the use of data obtained from measurements of the catheter .
ICD -10CM code is tenth version of international classification of diagnosis . It is used by physicians and other health worker to represent a diagnosis ,sign and symptoms . Also this is used by insurance company for reimbursement purpose.
ICD code for diabetes insipidus is E23.2 . It is used to denote Diabetes insipidus, central; Diabetes insipidus, partial; Neurohypophyseal diabetes insipidus; Partial diabetes insipidus; nephrogenic diabetes insipidus.
LOCATION: Inpatient, Hospital PATIENT: Hannah Halter ATTENDING/ADMIT PHYSICIAN: Frank Gaul, M.D. SURGEON: Marvin Elhart, M.D. PREOPERATIVE...
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