Forum - Questions & Answers

Dec 8th, 2013 - j.ischer85

@

The patient presented to Dr. Elhart with complaints of chest pain and SVT. A 2-D doppler and color-flow doppler was performed at the local hospital in the outpatient department, and Dr. Elhart monitored the echocardiography. You are reporting the service before the test results are known.
LOCATION: Outpatient, Hospital
PATIENT: Emily Watts
PHYSICIAN: Marvin Elhart, MD
STUDY: The study is a transthoracic 2-D and color-flow doppler
echocardiography
INDICATION: Chest pain and SVT
M-MODE MEASUREMENTS:
I. Left Atrium is 3.9, aortic root 2.3
II. RV dimension 1.7
III. LV diastole 5
IV. LV systole 2.3
V. Fracture shortening 0.46
VI. Interventricular septum 0.7
VII. Posterior wall thickness 0.7
DOPPLER:
I. Mild mitral regurgitation
II. Mild to moderate tricuspid regurgitation
III. RV systolic pressure 73 mmHg
2-D FINDINGS:
I. Left ventricle is normal in size with good LV systolic function noted
II. Normal left atrium, right atrium, and right ventricle
III. No pericardial effusion seen
IV. Aortic root is normal in size with normal aortic valve
V. The mitral valve is structurally normal with mild mitral regurgitation
VI. Mild tricuspid regurgitation
CONCLUSION:
I. Normal LV size with preserved LV systolic function
II. No significant aortic or mitral valve disease
III. No dilation of the chambers noted

Identify the correct procedure (CPT-4) code(s) for the above scenario.

CPT-4: __________



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