Help with transbaffle puncture, stent placement in atrial septum

dcurtis01@bellsouth.netdcurtis01@bellsouth.net
in Cardiology
Can anyone help with this cath? The note states - "Using TEE guidance, we performed a transbaffle puncture from the inferior baffle into the right atrial portion of the pulmonary venous baffle. We elected to proceed with stent of the atrial septum. The stent was prepped. the sheath is position across the IVC, into the right atrium, across the atrial septum, and into the left atrial or pulmonary venous chamber. The stent is positioned across the atrial septum.

I am at a loss for what to code for this stent placement and if there is any code for a transbaffle puncture. Any help would be appreciated.

Comments

  • rstuart@peacehealth.orgrstuart@peacehealth.org
    edited May 2017
    Do your docs use voice recognition software? Are you sure they aren’t saying transseptal puncture?


    Robin Stuart | Provider Coding Specialist | Coding and Charge Capture
    PeaceHealth | 400 NE Mother Joseph Place | Vancouver, WA 98683
    fax 360-729-3243
  • dcurtis01@bellsouth.netdcurtis01@bellsouth.net
    edited May 2017
    Not that I know of. I am going off the transcribed report!

  • Unknown
    edited May 2017
    I had toresearch this (mostly because I haven't done cardio billing before) but there are lots of references to transbaffle - probably just a difference in terminology/dialect
  • camillel@cardiacstudycenter.comcamillel@cardiacstudycenter.com
    edited May 2017
    a baffle is a like a tunnel, it's usually created to redirect blood flow

    Thanks,
    cml

    Camille Laabs
    253-572-7320 ext 3049
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