Bilateral Doppler Study: Carotid Arteries
Indications: Status post-carotid endarterectomy imaging. The patient states that he was told that the right carotid artery is blocked. The right internal carotid artery is not identified, probably completely blocked.
Velocity measurements on the right side:
Common carotid artery: 58.9 cm/sec
Right external carotid: 142 cm/sec
Right vertebral: 44 cm/sec and showing antegrade flow
Velocity measurements on the left side:
Common carotid artery: 35 cm/sec
Carotid bulb: 60 cm/sec
Internal carotid: 52 cm/sec
External carotid: 236 cm/sec
Left vertebral: 55 cm/sec
Status postendarterectomy changes are noted in the left internal carotid and the bulb. There is evidence of ectasia. On the right, the common carotid artery shows ectasia.
Judging from the velocity measurements, the right internal carotid artery has a stenosis in the range of 50% to 79%.
The left internal carotid artery has a stenosis in the range of 16% to 49%. The left external carotid artery is in the range of 50% to 79%.
Impression: The right internal carotid artery is completely occluded. Status postendarterectomy changes in the left internal carotid and the bulb are noted. No significant occlusive disease is seen in the left internal carotid artery. Both vertebral arteries are showing antegrade flow.
Select the appropriate ICD-10-CM and CPT code(s) :
A) Z09, 93880
B) Z09, 93882
C) I65.22, Z98.89, 0126T
D) I65.21, Z98.890, 93880
Correct Answer:
Verified
Q181: Dr. Mathis has been called to the
Q182: A 50-year-old male patient presents to the
Q183: June was admitted to the hospital with
Q184: S: A 46-year-old male who was in
Q185: Procedure performed: Left-sided heart catheterization, selective coronary
Q187: Holter Monitor Report
History: This is a 36-year-old
Q188: A 55-year-old female was having a problem
Q189: This is a new 35-year-old male who
Q190: A 36-year-old female who was the driver
Q191: A 75-year-old female recently underwent a stroke
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents