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A patient is diagnosed with a degenerative labral tear and subacromial bursitis of the right shoulder. The patient presents for labral debridement and bursectomy. During the course of t...
Based on the...
A patient presented for a left heart catheterization, with selective left and right coronary angiography, and left ventriculography. An angioplasty of the mid and distal LAD was performed in additi...
Since the co...
A patient with a renal calculus presents for extracorporeal shock wave lithotripsy (ESWL). The patient was taken to the operating room (OR) and an x-ray was performed prior to the induction o...
It would be ...
A patient was scheduled for a stereotactic breast biopsy of the left breast. Stereotactic images were performed; however, the lesion to be biopsied was not visualized.
Anesthesia wa...
It would be ...
A patient presented to the radiology department for a lower limb venogram. The injection part of the procedure was attempted several times without success. The procedure was cancelled. ...
Do not assig...
A patient with left pleural effusion presents for diagnostic thoracentesis. The patient’s skin was prepped for the thoracentesis and a local anesthetic was given. The needle was inser...
It would be ...
A patient at our facility was diagnosed with a branch retinal vein occlusion of the left eye. She underwent a pars plana vitrectomy. During the course of the procedure a limited arteriovenous...
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Our facility is considering providing a new diagnostic service, computed tomography (CT) enteroclysis. This procedure involves the infusion of a barium-based contrast material through a naso-...
Assign CPT c...
A patient presents for removal of vaginal vault lesions. The patient was placed under general anesthesia and acetic acid was placed in the vaginal vault. White epithelial lesions were f...
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This issue is in reference to CPT code 36540. We would like clarification and direction as to the appropriate CPT code to use when collecting a blood sample from a central venous access devic...
The differen...