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Thrombolysis started by physician A, repeat eval by physician B same day.

Date: Sep 5, 2019

Question:

Patient had a thrombolysis (37211) by Physician A, and repeat evaluation by physician B below. "The groin and existing catheters were prepped in usual fashion. The 4 French cath was then aspirated and flushed, and a right upper extremity angio was done from the brachial artery to the hand. This showed no flow in either the radial or ulnar artery beyond the mid forearm. The patient was prone, and repeat angio was performed, which demonstrated similar findings. I then proceeded to administer aliquots of nitroglycerin and ultimately heparin, tPA, and verapamil through the catheter into the distal forearm. A total of 1000 mcg of nitroglycerin, 5000 units of heparin, 4 mg of tPA, and 5 mg of verapamil were administered. Periodic angiography was performed in between aliquots of medication. Ultimately the final angiogram was performed, which demonstrated significant improvement in flow into the radial and digital arteries and filling of the palmar arch." Would Physician B not get any codes for the repeat evaluation above?

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