tci Part B Insider - 2006 Issue 12

CARDIOLOGY: Reader Question--Learn Why Catheter Coding Boils Down To Crossing The Heart

Question: We have documentation from the cardiologist's op report that states he performed a heart catheter and intervention procedure. He used the Seldinger technique to insert a guiding catheter into the right femoral artery. Here is a snippet of the op report: "Positioned a guiding catheter into the left main artery where I performed initial injections in different projections, revealing a 90 percent occlusion of the circumflex artery and sub-total occlusion of the obtuse marginal branch. I attempted for several minutes to cross the obtuse marginal occlusion without success. At this point, I decided to proceed with angioplasty and...

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