AHLT 255 – Advanced Coding
Cardiac catheterization or Heart catheterization is a common diagnostic procedure for many heart-related problems. It examines blood flow to the heart and test how well the heart is pumping. It is the only test that is 100% accurate for diagnosis of possible blockages is a heart cath. Having a catheterization done can prevent heart attacks that cause muscle damage to the heart. Before the procedure you are given medication that helps you to relax and allows you to be awake, but not nervous at all. This test can measure blood pressure within the heart and how much oxygen is in the blood. Catheters are also used to inject dye into the coronary arteries. CARDIAC CATHETERIZATION CPT PROCEDURE
A common medical diagnostic procedure used to examine the heart. This test can measure blood pressure within the heart and how much oxygen is in the blood. It's also used to get information about the pumping ability of the heart muscle. Catheterization is a valuable tool in detecting and treating abnormalities of the heart. Through the use of fluoroscopic (x-ray) guidance, a catheter, which may resemble a balloon-tipped tube, is strung through the veins or arteries into the heart, so the cardiologist can monitor a body's various functions at each moment. History
Cardiac Catheterizations long history dates back to 1711 when Stephen Hales placed catheters into the right and left ventricles of a living horse. (Mueller., 1995) During the 1840s, developments were made by Claude Bernard after studying cardiac psysiology and performing variations to the procedure. The first human procedure was performed in 1929 by Werner Forssmann who created an incision into his left antecubital vein and then inserted a catheter into his venous system, guiding the catheter by fluoroscopy into his right atrium. The next year, he repeated the procedure into his right ventricle, later winning him the Nobel Prize in Physiology Medicine for this achievement. (Cournand A, 1944) Finally during World War II, André F. Cournand, a professor at Columbia University College of Physicians and Surgeons who also shared the Nobel Prize, and colleagues developed techniques for left and right heart catheterization. Catheterization Procedure
The cardiac catheterization procedure takes between 30 minutes to an hour. You will not be completely asleep during the procedure, because it will be necessary to talk to you during the test. There will be several staff members in the lab that will assist the physician. A Coronary angiography is usually done along with cardiac catheterization. A Coronary Angiogram is a test that uses X-rays to help your doctor find narrowing or blockage in one or more of your coronary arteries. To perform an angiogram, your physician will numb your groin with medicine, The medicine may burn as it begins to work but then you should have no pain for the rest of the exam. A small thin tube called a catheter will be threaded through a large vessel in your leg known as the femoral artery. It will follow that artery to your heart. Some physicians have been specially trained to use the wrist (radial) artery, which is possible in certain patients and has an advantage of speedier recovery. Because catheters and devices are actually inserted inside the body, cardiac catheterization is the only imaging test that can be called "invasive".
| Catheter-based procedures are performed in a special room in the hospital: the Catheterization, or "cath", lab. The room is outfitted with high-resolution imaging equipment. This typically has been a combination fluoroscopic (X-ray) video and film system that allowed the cardiologist to see in real time what he was doing inside the body. In recent years, cath labs have become all-digital and now feature very sophisticated higher-resolution, finer contrast and lower X-ray dose technology, called Flat Panel Detector or...
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