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Which modifier will be assigned to report the physician’s portion of the service?
The patient presented to Dr. Elhart with complaints of chest pain and SVT. A 2-D doppler and color-flow doppler was performed at the local hospital in the outpatient department, and Dr. Elhart monitored the echocardiography. You are reporting the service before the test results are known.
LOCATION: Outpatient, Hospital
PATIENT: Emily Watts
PHYSICIAN: Marvin Elhart, MD
STUDY: The study is a transthoracic 2-D and color-flow doppler echocardiography
INDICATION: Chest pain and SVT
M-MODE MEASUREMENTS:
1. Left Atrium is 3.9, aortic root 2.3
2. RV dimension 1.7
3. LV diastole 5
4. LV systole 2.3
5. Fracture shortening 0.46
6. Interventricular septum 0.7
7. Posterior wall thickness 0.7
DOPPLER:
1. Mild mitral regurgitation
2. Mild to moderate tricuspid regurgitation
3. RV systolic pressure 73 mmHg
2-D FINDINGS:
1. Left ventricle is normal in size with good LV systolic function noted
2. Normal left atrium, right atrium, and right ventricle
3. No pericardial effusion seen
4. Aortic root is normal in size with normal aortic valve
5. The mitral valve is structurally normal with mild mitral regurgitation
6. Mild tricuspid regurgitation
CONCLUSION:
1. Normal LV size with preserved LV systolic function
2. No significant aortic or mitral valve disease
3. No dilation of the chambers noted.
re: Which modifier will be assigned to report the physician’s portion of the service?
FYI....
You might want to remove all names. It is a HIPPA violation. :)