Cardiology Question for the Week of May 15, 2017

If a patient is brought to the cardiac cath lab and only bypass grafts were visualized (for example, SVG [saphenous vein graft] to the right coronary artery [RCA], and SVG to the circumflex) with no native coronary arteries being injected or imaged, what is the appropriate CPT procedure code to charge?

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General Question for the Week of May 8, 2017

Our hospital coding and CDI professionals have noticed an increase in length and redundancy in clinical documents since we have implemented the electronic health record (EHR). For ex., some physician progress notes have exploded from three lines in a paper record to three or more pages in an electronic record with information being copied and pasted. Do you have any suggestions on ways to deal with this problem?

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Cardiology Question for the Week of May 8, 2017

One of our cardiologists attempted to cannulate the right radial artery using ultrasound (US) guidance. He says the vessel was well-visualized, and the needle could be seen within the vessel, but there was no return of flow. After several attempts without success, he used the right femoral artery for the exam. Can we bill for the US guidance and the radial puncture?

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