Tuesday, February 1, 2022

Medical Coding for Vascular Surgery

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Question: I wished to attempt entering cardiology coding and a good friend informed me to begin with vascular surgical treatment. I am at a loss regarding where to begin to get ready for this location of coding. My background up until now has actually just remained in danger change. I like it however I wish to do more.
=========== =-LRB- .This is from the CCO QandA November 2019 Webinar Free Public Webinar.
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Vascular surgical treatment incorporates the medical diagnosis and thorough, longitudinal management of conditions of the arterial, venous, and lymphatic systems, special of the intracranial and coronary arteries. Diplomates in vascular surgical treatment need to have substantial experience with all elements of dealing with clients with all kinds of vascular illness, consisting of medical diagnosis, medical treatment, and reconstructive vascular surgical and endovascular methods.

Vein Treatment

– Radiofrequency ablation (RFA)

– Endovenous laser treatment (EVLT)

– Mechanochemical Ablation (MOCA)

Situation

Client provides to the ER with a cold leg and dusky

forefoot. Previous fem-AK pop with prosthetic, now

occluded. Excellent Caliber GSV … Off to OR

— Consult Service

— Perform a fem-pop bypass with vein

– Endarterectomy at website of bypass

– Completion Angiogram

– Redo bypass

— Poor inflow with iliac occlusion, so Iliac Stent

– Follows up 2 weeks later on with a patent bypass

Had a TIA. United States reveals high grade stenosis

— Clinic go to

— CEA

– Follows up a month later on with a patent bypass however

gangrenous toes 1-5

— Clinic Visit

— TMA

– 2 months from initial discussion, client

experiences discomfort in calf with ambulation

— Duplex exposes a drop in ABI however stent improperly envisioned

— Angiogram exposes high grade stenosis at distal

anastomosis

– Decide to step in and Treat with angioplasty

— 75710, 37224

— Angiogram of the Aorto then move catheter to take a look at LLE?

— Angiogram of the Aorta, hips and LLE w/o moving the

catheter?

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