Get Answer: Patient Name Robert Question Guide
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Original Question
Patient Name: Robert Austin DOB: 03-28-57 Ordering Physician: Barbara Williams, MD Gender: M Interpreting Physician: Charles Hanes, MD Date of Service: 05-05-XX Indication: Dilated cardiomyopathy/SOB Transthoracic Echocardiogram Report-2D/M-Mode w/ Spectral Doppler Left Ventricle: Mild concentric left ventricular hypertrophy with increased left ventricular cavity size and lower limits of normal systolic function. Estimated ejection fraction 50%. Left Atrium: The left atrium was normal in size. LA volume 33 ml/m2 Right Ventricle: Enlarged right ventricular size with retained systolic function. Right Atrium: The right atrium was normal in size. Mitral Valve: Mitral annular calcification. Aortic Valve: The aortic valve leaflets were normal. Tricuspid Valve: The tricuspid valve was structurally normal. Pulmonic Valve: The pulmonic. valve was structurally normal. Pericardium: The pericardium was normal. Aorta: The aorta was normal. Conclusions: Cardiomyopathy Mild concentric left ventricular hypertrophy with increased left ventricular cavity size and lower limits of normal systolic function. Estimated ejection fraction 50%. Enlarged right ventricular size with retained systolic function. Compared to the prior study done at another facility dated 12-17-XX, left ventricular systolic function has improved from previously reported 40% ejection fraction, otherwise, there is no significant change. Give the correct CPT and ICD-10 codes.
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