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Janice Posted 1 Year(s) ago
93462,93662,92960,76937,33340 What am i missing??? PROCEDURE IN DETAIL: Prior to procedure, risks and benefits were explained thoroughly to the patient who consented to the procedure. The patient was sedated with general anesthesia via the anesthesia service. Of note, a left radial arterial sheath was placed by the anesthesia service. Arterial blood pressure was monitored throughout the procedure. Her bilateral groins were prepped and draped sterilely. Preprocedure antibiotics were given. Using ultrasound guidance, right femoral venous access was obtained x2. Over a wire, two separate 8-French sheaths were placed. After establishment of IV access, subsequently an 8-French intracardiac echo catheter placed at the level of the right atrium. Of note, the patient with a history of paroxysmal atrial fibrillation; however, at the initiation of the procedure, she was in atrial fibrillation with rapid ventricular rate with heart rates in the 110s. As a result, we decided to proceed with cardioversion. The patient then underwent a synchronized cardioversion at 200 joules with successful cardioversion to normal sinus rhythm. Following cardioversion subsequently, transseptal puncture was then performed. Subsequently, the 8-French sheath in the right femoral vein was then exchanged over a long wire for Preface transseptal sheath, which was placed at the level of the superior vena cava. The Baylis RF transseptal needle was subsequently advanced through the Preface sheath. Heparin bolus was given prior to transseptal puncture and maintained throughout the procedure to maintain ACT time of approximately 250 to 300. Subsequently, transseptal puncture was then performed from the right atrium to the left atrium through the fossa ovalis using a combination of fluoroscopic as well as intracardiac echo landmarks. Pressure tracings following transseptal puncture were consistent with left
SuperCoder Posted 1 Year(s) ago


AAE does not provide coding for operative reports and chart notes.

 SuperCoder offers SuperCoder on Demand (SOD) ( for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail for more information.


Posted by Janice, 1 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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