10º Congresso da AMACC Emanuel Dias, Assistente Hospitalar de Cirurgia Vascular, FEBVS

Transcrição

1 10º Congresso da AMACC Emanuel Dias, Assistente Hospitalar de Cirurgia Vascular, FEBVS

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3 Status Bypass periférico: Z Status Angioplastia periférica: Com stent Z Sem stent Z98.62 Uso de anticoagulantes: Z79.01 Uso de antiplaquetários: Z79.02 Uso da aspirina: Z79.82

4 História pessoal de tromboembolismo pulmonar: Z História pessoal de trombose venosa: Z História pessoal de tromboflebite: Z86.72

5 Z89.4 Acquired absence of toe(s), foot, and ankle Z89.41 Acquired absence of great toe Z Acquired absence of right great toe Z Acquired absence of left great toe Z Acquired absence of unspecified great toe Z89.42 Acquired absence of other toe(s) Z Acquired absence of other right toe(s) Z Acquired absence of other left toe(s) Z unspecified side Z89.43 Acquired absence of foot Z Acquired absence of right foot Z Acquired absence of left foot Z Acquired absence of unspecified foot Z89.44 Acquired absence of ankle Z Acquired absence of right ankle Z Acquired absence of left ankle Z Acquired absence of unspecified ankle Z89.5 Acquired absence of leg below knee Z89.51 Acquired absence of leg below knee Z Acquired absence of right leg below knee Z Acquired absence of left leg below knee Z Acquired absence of unspecified leg below knee Z89.52 Acquired absence of knee Z Acquired absence of right knee Z Acquired absence of left knee Z Acquired absence of unspecified knee Z89.6 Acquired absence of leg above knee Z89.61 Acquired absence of leg above knee Z Acquired absence of right leg above knee Z Acquired absence of left leg above knee Z Acquired absence of unspecified leg above knee Z89.62 Acquired absence of hip Z Acquired absence of right hip joint Z Acquired absence of left hip joint Z Acquired absence of unspecified hip joint Z89.9 Acquired absence of limb, unspecified Dependência de cadeira de rodas: Z99.3 Status acamado: Z74.01 Confinamento a cadeira: Z74.09

6 Ecodoppler venoso - Membros superiores: B54PZZZ - Membros inferiores: B54DZZZ Ecodoppler arterial - Membros superiores: B34KZZZ - Membros inferiores: B44HZZZ Ecodoppler carotídeo: B348ZZZ

7 Arteriografia: B41- Flebografia: B51-

8 Endarterectomia carotídea: 03CK0ZZ Suplemento Patch sintético: 03UK0JZ 1 stent carotídeo percutâneo: 037K3DZ

9 TEVAR (Thoracic Endovascular Aortic Repair): 02VW3DZ (Restriction)

10 EVAR: Endovascular aortic repair percutâneo aorto bi-iliaco: 04V03D6 Interposição de prótese aortoaórtica via aberta: 04R00JZ

11 Tromboembolectomia artéria umeral: 03C70ZZ Tromboembolectomia da aorta abdominal: 04C00ZZ Tromboembolectomia femoral direita: 04CK0ZZ

12 I Atherosclerosis of native arteries of extremities with intermittent claudication I Atherosclerosis of native arteries of extremities with rest pain I Atherosclerosis of native arteries of right leg with ulceration I Atherosclerosis of native arteries of extremities with gangrene I Atherosclerosis of unspecified type of bypass graft(s) of the extremities

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14 Bypass aorto bifemoral: 04100JK Bypass femoro-politeo infra genicular com veia safena invertida à direita: - Colheita de veia safena: 06BP0ZZ - Bypass: 041K09L

15 Estenose de Stent periférico: T82.856A B40F1ZZ Plain Radiography of Right Lower Extremity Arteries using Low OsmolarContrast 047K3ZZ Dilation of Right Femoral Artery, Percutaneous Approach Trombose de bypass periférico: T82.868A Trombectomia de bypass axilo bifemoral: 03C50Z6 Extirpation of Matter from Right Axillary Artery, Bifurcation, Open Approach 04CK0ZZ Extirpation of Matter from Right Femoral Artery, Open Approach 04CL0ZZ Extirpation of Matter from Left Femoral Artery, Open Approach Trombose de Bypass periférico: T82.868A

16 Colocação de prótese endovascular: 04VM3DZ Tratamento cirúrgico via aberta: 04RM07Z

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19 A tabela Excision dos Body Systems Anatomical Regions, [Upper Lower] Extremities, não tem Body Parts para a pele, as fáscias, os músculos, o osso mas regiões como a coxa, a perna, o pé exatamente aquilo que se deve codificar num procedimento de desbridamento dum coto de amputação Uma reamputação deve codificar-se como uma nova amputação no nível indicado. Os Qualifiers High, Mid e Low permitirão refletir o novo nível de amputação

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22 Presença de FAV no MSD Presence (of) arterial-venous shunt (dialysis) Z99.2 Z99.2 Dependence on renal dialysis Hemodialysis status Peritoneal dialysis status Presence of arteriovenous shunt for dialysis Renal dialysis status NOS Excludes1: encounter for fitting and adjustment of dialysis catheter (Z49.0-) Excludes2: non compliance with renal dialysis (Z91.15)

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24 03180JD Bypass Left Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

25 Hemorragia de FAV: T82.530A Trombose de FAV: T82.868A Trombectomia de FAV: extirpação de material da veia 05C- Síndrome de Roubo: T82.898A Hemorragia de Shunt: T82.531A Trombose de Shunt: T82.868A Trombectomia de shunt: extirpação de material da artéria e veia 03C-, 05C- Reparo de shunt: 05WY0JZ

26 Codificar Repair da artéria + Repair da veia Desmontagem de fístula bráquio-cefálica no MSE: 03Q80ZZ Repair Left Brachial Artery, Open Approach 05QF0ZZ Repair Left Cephalic Vein, Open Approach

27 I83 Varicose veins of lower extremities I83.0- with ulcer I83.1- with inflammation I83.2- with both ulcer and inflammation I83.8- with other complications I83.9- Asymptomatic varicose veins of lower extremities

28 I with ulcer of thigh I with ulcer of calf I with ulcer of ankle I with ulcer of heel and midfoot with ulcer of plantar surface of midfoot I with ulcer other part of foot with ulcer of toe I with ulcer other part of lower leg I with ulcer of unspecified site

29 Exérese de varizes, Flebectomias - Excision: 06B- Stripping - Extraction: 06D- Laqueação - Occlusion: 06L- Injeção de substância esclerosante - Introduction, destructive agent: 3E0- (3E033TZ) (cola de varizes?) Tratamento por radiofrequência: Destruction: 065- (acho que o mais apropriado seria oclusion 06L-)

30 06BP3ZZ Excision of Right Saphenous Vein, Percutaneous Approach 06BY3ZZ Excision of Lower Vein, Percutaneous Approach

31 06LY3ZZ Occlusion of Lower Vein, Percutaneous Approach

32 3E030TZ Introduction of Destructive Agent into Peripheral Vein, Open Approach

33 065P3ZZ Destruction of Right Saphenous Vein, Percutaneous Approach 065Q3ZZ Destruction of Left Saphenous Vein, Percutaneous Approach

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