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Non Selective Angiogram

Date: Mar 21, 2022

Question:

Coding help please. Do you agree with CPT code 36200, and is the documentation suffice?

INDICATION: Dyspnea on exertion and Severe aortic stenosis undergoing evaluation for aortic valve replacement

PROCEDURAL DETAILS: Radial artery was cannulated with a 6 French hydrophilic-coated sheath. Intrarterial verapamil, nitroglycerin and IV heparin was given. A Nonselective angiogram the left cusp with multipurpose A2 5 French catheter followed by nonselective angiography of the left cussed with a 5 French angled pigtail catheter. At the conclusion of the procedure, the sheath was removed, and radial compression band was used for patent hemostasis of the right radial artery.

COMPLICATIONS: No complications during the procedure.

RESULTS:

Hemodynamics: Ao Pressure: 121/63

Coronary Angiogram:

LM findings: Normal

LAD findings: Proximal:luminal irregularities with prominent first septal perforator.

No evidence of anomalous coronary left cusp

LCX findings: Luminal irregularities.

Question ID : 16482
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