Preoperative Diagnosis Renal Assignment Help: How to Answer This Question

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Original Question

PREOPERATIVE DIAGNOSIS: Renal artery stenosis, Congestive heart failure (on medication) POSTOPERATIVE DIAGNOSIS: Same PROCEDURE PERFORMED: Left renal artery balloon angioplasty, left renal artery stent, aortogram, and left renal artery catheterization. DESCRIPTION OF PROCEDURE: Given the severe left renal artery stenosis, decision was made to treat with angioplasty and stent. I advanced an IM 6-French guiding catheter. I selectively catheterized the left renal artery and advanced a 0.14-inch stabilizing wire. Left renal artery angiogram was performed by injection through the guiding catheter. This confirmed the severe stenosis in the left renal artery, which began about 0.5 cm from its origin. Left renal artery balloon angioplasty was performed using a 5 mm x 2 cm balloon. Severe waist was present which effaced with balloon dilation. The stent was placed (6 x 80 mm was used). It was deployed across the left renal artery stenosis in good position. Code this case based on the documentation provided. Choose the correct principal diagnosis code: I70.1 Q27.1 I50.9 I12.9

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