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(CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical r

Posted By: MT50 on 2008-02-26
In Reply to: Robotic CABG arterial stabilizer s/l S tech sm - Lyndia

Subject: (CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical robot




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Can you access file samples? They usually say procedures over
Subject: Can you access file samples? They usually say procedures over

s
surgical procedures
Subject: surgical procedures

There is an instrument, and I think it either a clamp or clamp-like, that is refered to as a Davis & Geck in various procedures I have seen.
her past surgical procedures ??? nm
Subject: her past surgical procedures ??? nm

,
Nobody answered but QA says it is Estech (nm)
Subject: Nobody answered but QA says it is Estech (nm)


There is an Estech retractor used in thoracic surgery?
Subject: There is an Estech retractor used in thoracic surgery?


Word used in conjunction with eating disorder...sm
Subject: Word used in conjunction with eating disorder...sm

I'm sure this is probably really easy, but...


 


"Client admits to bulimia when she was 14-15 years old, without any problems with S/L: A-FISH-EE-O at this time."


 


TIA!


Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more d
Subject: Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more difficult.

I am a MT and a medical biller. Say for instance we use a regular surgery code 29880 (arthroscopy of the knee) and we might add a -22 if this procedure was more difficult than usual. We increase our fees for the surgery due to the difficulty, thus the -22 indicates why we upped our fees. Hope this helps and was not too confusing.
stabilization?
Subject: stabilization?

dd
There is a white blood cell labeling done in conjunction with a bone scan. That's probably what
Subject: There is a white blood cell labeling done in conjunction with a bone scan. That's probably what

the dictator means.
s/l manalvil plate and screw stabilization????
Subject: s/l manalvil plate and screw stabilization????

This is for a fibular fracture


 


Any ideas  THANKS IN ADVANCE


Might be Dynesys® Dynamic Stabilization System. nm
Subject: Might be Dynesys® Dynamic Stabilization System. nm

 

Google moss stabilization rod orthopedics
Subject: Google moss stabilization rod orthopedics

It's the fourth site down.
Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm
Subject: Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm

nm
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi


Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gla
Subject: Proctectomy: Surgical resection of the rectum or Prostatectomy: Surgical removal of the prostate gland.


CVT access
Subject: CVT access

Has anyone heard of CVT access?  Chief complaint is "Need for CVT (?) access"
CABG
Subject: CABG

at that point, they remove cannulas and vents, and dictate things like "the ventricular and aortic root vents were removed" or something along that line and they check suture lines etc for hemostasis.
cabg
Subject: cabg


CABG x5?
Subject: CABG x5?

The doctor transcribes that the patient had a "five-way CABG".  Does anyone know if the this is the same as CABG x5 or how it is transcribed?  Thanks.


CABG
Subject: CABG

Not that I see on this report and I see no past reports to refer to....I'll just put a blank and turn it in.   Thanks for trying to help!!
? about CABG
Subject: ? about CABG

Is it 4-vessel CABG or four-vessel CABG?  I do not type about this stuff ever.


 


Thanks,


Jennifer


IV access?
Subject: IV access?

nm
I bet he's saying access catheter then!
Subject: I bet he's saying access catheter then!


Yes, the KVO allows easy access
Subject: Yes, the KVO allows easy access

warranted.  In my experience, the KVO rate was used during a transesophageal echocardiogram wherein if the patient needed a bolus of a med, then the line was there to give it.  Saline was given at a KVO rate, but I think it also (slow drip) allowed hydration for the patient while undergoing the procedure.  I believe these drips given at KVO rate can be started a lot of times in the ER to allow venous access. 
CABG PROC
Subject: CABG PROC

Can anyone tell me what these blanks would be, almost sounds like blood but can't tell. Wish these docs would realize most of us never went to medical school...
700 mL of warm ||<________> 10:38 via antegrade cannula. A rapid diastolic ||<________> 10:41 of the heart was achieved. This was followed by a second dose of 700 mL of warm ||<________> 10:45 via the retrograde cannula. This was followed by a third dose of 700 mL of cold ||<________> 10:49 via the retrograde cannula.
help please - CABG with SVG graft to s/l dye vuh one - nm
Subject: help please - CABG with SVG graft to s/l dye vuh one - nm


OFF PUMP CABG
Subject: OFF PUMP CABG

Help please.  I am doing an off-pump CABG with a an end-to-side anastomosis to the ascending aorta using heart string device and s/l no contact technique or possibly no thumb technique (I've got Speedy the cardiothoracic surgeon).


Also, after the grafts were finished, checking the flows, inflow was 34 cm/min and s/l TIC was 3.4


 


Any help is much appreciated.  Thanks.


Cannot access the site? - sm
Subject: Cannot access the site? - sm

Tried googling http://ssrsurgical.com/index.html but no can find.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm

xx
did the patient have CABG?
Subject: did the patient have CABG?

could it be previous sternotomy?
Sutures used in CABG?
Subject: Sutures used in CABG?

S/L  primichron felt-pledgetted sutures -any suggestions (have never heard of this type of suture)  Thanks!
Is the MT able to access old records
Subject: Is the MT able to access old records

and saw this was the proper medication? That may be where the MT got it.
Lab test after CABG ..sm
Subject: Lab test after CABG ..sm

3 months out. His troponin was less than 0.04, s/l *VK* was low at 42. Thanks.
Not enough information but could it be CABG
Subject: Not enough information but could it be CABG


Here are some of these systems. Will look around more. sm
Subject: Here are some of these systems. Will look around more. sm

Apogee



Vaginal Vault Prolapse Repair System


Perigee



Transobturator Anterior Prolapse Repair


Monarc



Subfacial Hammock


SPARC



Sling System


BioArc SP



Sling System


BioArcTO



Subfascial Hammock


InteDerm



Allograft Dermal Matrix


InteXen



Porcine Dermal Matrix


In-Fast Ultra



Sling System


Straight-In



Sacral Colpopexy System


procedures
Subject: procedures

bilateral breast augmentation? or bilateral augmentation[s]?


procedures
Subject: procedures

I would recommend going ahead with an arthroscopy, meniscal debridement, and anterior cruciate ligament reconstruction.

my question is would there be a comma after arthroscopy? He clearly says arthroscopy, not arthroscopic.
tia.
? Vascular access resistance
Subject: ? Vascular access resistance

s/l it, though VAR could stand for venoarteriolar reflex, venoarteriolar response, etc.
are you sure they're not saying CABG/stent? nm
Subject: are you sure they're not saying CABG/stent? nm


Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm

s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm

s
s/l mitrophenov access to the bladder?
Subject: s/l mitrophenov access to the bladder?


CABG procedure closing -- Please help (sm)
Subject: CABG procedure closing -- Please help (sm)

Dictation:  After deairing the grafts, adequate rewarming, and ________ (s/l "isodet repayment"), the patient was weaned off cardiopulmonary bypass.


Tks so much for your assistance!!


 


apical access guidewire?
Subject: apical access guidewire?

This is a bunionectomy. s/l apical access guidewire
Skin Axis / Access
Subject: Skin Axis / Access

In a mammogram, doc dictates: "At ultrasound, this does correspond to a smooth, oval, hypoechoic, well-defined nodule, which is parallel to the skin axis/access, measuring 14 x 4 x 9 mm. "


Is it "axis" or "access?"  Thanks in advance :-)


Status post MVR CABG.
Subject: Status post MVR CABG.

Should there be a comma MVR,CABG. I came across MVR/CABG and am now doubting myself. Thanks for your help.
status post mvr cabg
Subject: status post mvr cabg

hi,
Look what i have come across is that mvr is mitral valve replacement and cabg is coronary artery bypass graft so status post mvr, cabg or mvr and cabg is the proper way i feel. usually putting mvr/cabg means it can be either of the two but here both are different procedures so I guess to be on the safer side i think it should be cabg, mvr or cabg and mvr.
hope that helps.
CABG dressing S/L Ardley's
Subject: CABG dressing S/L Ardley's

Remove "Ardleys" dressing on 5/18/09. Sternal incision: Cleanse with soap and water and pat dry daily after "Ardleys" removed.


Any ideas would be greatly appreciated. Thank you.


s/l CCAP/CAPA Access Med Plus
Subject: s/l CCAP/CAPA Access Med Plus

We have given patient Access MedPlus number to CCAP/CAPA to see if she would qualify for any free services as she has no insurance.  It may also be "CAP/CAPA"


Thanks,


 


Abby


IV access. S/l might be multi-lumen
Subject: IV access. S/l might be multi-lumen


Thats all in Review of systems.
Subject: Thats all in Review of systems.

Thanks though!