AAPC - Chapter 10 Practical Applications

CASE 1 Preoperative diagnosis: Severe two-vessel coronary artery disease and moderate valve aortic stenosis.(There are two separate diagnoses, the coronary atherosclerosis and the aortic valve stenosis.) Postoperative diagnosis: Same. Operation: Triple-vessel coronary artery bypass grafting:(Three vessels were grafted: two veins and an artery. The note goes on to describe the performed procedures.) Left internal mammary artery to the left anterior descending coronary artery, reverse saphenous vein to the first diagonal branch, and a ramus intermedius. Aortic valve replacement with a 23 mm bovine pericardial bioprosthesis. Anesthesia: General. Indications: This is a 66 year-old white male who presented with unstable angina pectoris.(Additional information regarding the coronary atherosclerosis.) He underwent coronary angiography and had a 70 percent occlusion in the distal left main, an 80 percent occlusion in th - 33405 33533-51 33518 33508 I35.0 I25.110