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Description of Fomepizole Fomepizole is a competitive inhibitor of alcohol dehydrogenase. It is FDA-approved for the treatment of ethylene glycol and methanol poisoning. The drug must be diluted and administered by intravenous infusion over 30 minutes; administration as an undiluted intravenous bolus is associated with venous irritation and phlebosclerosis. If given with hemodialysis, which should … Read more
Description of Fosphenytoin Fosphenytoin is a water-soluble, parenteral prodrug of phenytoin, a hydantoin anticonvulsant Intravenous (IV) fosphenytoin is used for status epilepticus. IV or intramuscular (IM) fosphenytoin may be substituted short-term for oral phenytoin in situations where oral phenytoin is not appropriate or advantageous. Unlike phenytoin, fosphenytoin is soluble in standard intravenous solutions and is … Read more
Description of Deferoxamine Deferoxamine is an iron-chelating agent used in the treatment of acute iron intoxication and chronic iron overload secondary to multiple RBC transfusions (i.e., transfusional iron overload) in patients requiring multiple RBC transfusions such as those with thalassemia, sickle cell anemia, or other chronic anemias. Initially produced as a ferric compound, the drug … Read more
Description of Protamine sulfate Protamine sulfate, a protein derived from fish sperm, is a chemical antagonist of heparin. Clinically, protamine is indicated for heparin overdose and is commonly used to neutralize heparin during extracorporeal circulation following dialysis, and arterial or cardiac surgery. Dosage is guided by blood coagulation studies, with each mg of protamine sulfate … Read more
Description of Droperidol and its uses Droperidol is a butyrophenone derivative structurally similar to haloperidol. Droperidol has more potent antiemetic properties, while haloperidol is the more potent antipsychotic. Droperidol carries an approved indication for reducing the incidence of nausea and vomiting associated with surgical and diagnostic procedures. Due to the serious risk of proarrhythmic events, … Read more
Correctly coding for non-invasive vascular diagnostic studies means adhering to a strict set of authoritative guidelines and instruction. You’ve also got to take diagnostic considerations into account to ensure the claim has an optimal chance at reimbursement. Let’s address the coding mechanics surrounding extracranial artery and extremity vein duplex scans. Ensure your coding workflow is … Read more
Description of Sodium acetate trihydrate Sodium acetate is an intravenous alkalizing agent used in the management of mild to moderate metabolic acidosis. Sodium acetate and other bicarbonate precursors (e.g., sodium citrate, sodium lactate) are used to overcome the chemical and physical incompatibilities associated with administration of parenteral bicarbonate. Sodium acetate is also used as a … Read more
In response to the emergent nature of the public health concern surrounding monkeypox, the Current Procedural Terminology (CPT) Editorial Panel (the Panel) has approved three new codes specific to monkeypox. The Panel approved one CPT code (87593) to report the laboratory diagnostic testing for the orthopoxvirus and two new vaccine product codes (90611, 90622) for … Read more
Sample Medical Report 1 PREOPERATIVE DIAGNOSIS: Right laryngeal lesion. POSTOPERATIVE DIAGNOSIS: Right laryngeal lesion. PROCEDURE: Microsuspension laryngoscopy with excision of right laryngeal lesion. ANESTHESIA: General. ESTIMATED BLOOD LOSS: Minimal. SPECIMENS REMOVED: Right laryngeal lesions. COMPLICATIONS: None. INDICATIONS FOR SURGERY: The patient is an 84-year-old man with a history of dysphonia. He was found by … Read more
Sample coded Surgery chart 1 History: The patient is a 39-year-old male with a history of end-stage renal disease. The patient has an indwelling left upper extremity brachiocephalic hemodialysis fistula with reports of increased venous pressures and suboptimal dialysis. Comorbidities: 1. Hypertension. 2. End-stage renal disease Services performed: 1. Diagnostic fistulagram Date of service: Following explanation of … Read more