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Pyloromyotomy, Take Two

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

For some reason, applying this definition and explanation has been challenging. There was even a proposal at the September 2016 ICD-10-CM/PCS Coordination and Maintenance Committee to modify the explanation to remove the phrase about “cutting the wall.” The proposal failed to be changed because … Read more

The Art of Medical Record Coding

by Angela Lehoux, MS, CCS, CDIP, CIC, COC, CPC-I

Medical Record Coding is not an exact science by any means. There is art in addition to the medical science. Science is based on fact that has been proven to be true. Science is about understanding the meaning of something. Art requires discussion and contemplation. It is about … Read more

AV Fistula Declot & Stenting Failure; TPA and Repeat Stent for Extravasation

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

AV left forearm graft fistulogram showed extensive thrombus in main draining vein up to the level of the distal third of the humerus. Crossing sheaths placed. Angiojet catheter used to treat arterial and venous anastamosis. It worked for arterial but not venous. Angioplasty of arterial anastomosis, with arterial flow re-established. Stent was placed … Read more