STB CICU Collection Guide: Difference between revisions

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Minimally invasive, done through large vessel or small incision in chest. I code [[AVR Repair/Replace]] then either peripheral [[:Category:Angiogram|angiogram]] or thoracotomy depending which approach they use. Then code [[Aortic Stenosis]] or [[Aortic Insufficiency]].

*Question: What code do you use for a "peripheral angiogram" in TEVAR and TAVI? Is this a coronary angiogram? Also, do you count the angiogram in the lab counts?--[[User:LKolesar|LKolesar]] 13:15, 2015 September 16 (CDT)

** They do not do a coronary angiogram, they approach the valve through a femoral artery cutdown doing a peripheral angiogram to access the artery and aorta. I started coding both AVR and angiogram to indicate the AVR was not done the usual way through a sternotomy. --[[User:LBilesky|LBilesky]] 14:22, 2017 May 25 (CDT)

* There is a whole different discussion going on under [[Valvuloplasty]] related to this. Should these be coded as [[Valvuloplasty]] or [[AVR Repair/Replace]]? The answer eventually might better live in those articles, since they are really more relevant to the dx than to how to code at STB, right? Ttenbergen 17:10, 2017 May 18 (CDT)

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 Minimally invasive, done through large vessel or small incision in chest. I code [[AVR Repair/Replace]] then either peripheral [[:Category:Angiogram|angiogram]] or thoracotomy depending which approach they use. Then code [[Aortic Stenosis]] or [[Aortic Insufficiency]].
 *Question:  What code do you use for a "peripheral angiogram" in TEVAR and TAVI?  Is this a coronary angiogram?   Also, do you count the angiogram in the lab counts?--[[User:LKolesar|LKolesar]] 13:15, 2015 September 16 (CDT)
+** They do not do a coronary angiogram, they approach the valve through a femoral artery cutdown doing a peripheral angiogram to access the artery and aorta. I started coding both AVR and angiogram to indicate the AVR was not done the usual way through a sternotomy. --[[User:LBilesky|LBilesky]] 14:22, 2017 May 25 (CDT)
 {{discussion}}
 * There is a whole different discussion going on under [[Valvuloplasty]] related to this. Should these be coded as [[Valvuloplasty]] or [[AVR Repair/Replace]]? The answer eventually might better live in those articles, since they are really more relevant to the dx than to how to code at STB, right? Ttenbergen 17:10, 2017 May 18 (CDT)