Ask Dr. Z

We have a thrombolysis case where the physician dictates final day on a progress note. Here is the only documentation provided aside from E/M details. Is this enough to report code 37214? "PA pressure measured through Ekos catheters was 44/37. Impression and Plan: Patient with improving clinical picture status post 24 hours of US assisted thrombolysis. Clinically her symptoms have resolved. Her troponins are down from 3.9 to 1.2, and her BNP is only minimally elevated. Therefore, TPA infusion discontinued and sheath removed. Plan will be to immediately anticoagulate patient with heparin and to convert to oral anti coagulation as soon as possible."