[Solved]: STRESS TEST (FACILITY) FINDINGS: The patient is a…

STRESS TEST (FACILITY) FINDINGS: The patient is a 62-year-old female who has paroxysmal atrial tachycardia and takes Inderal 40 mg four times a day and Lanoxin 0.25 mg daily for this. She has also complained of some chest discomfort and has had some mild hypertension for which she takes Dyazide once a day. She is referred to take an outpatient stress test to rule out coronary artery disease. The patient was prepared in the usual fashion. Electrodes were applied to the chest. She was taken at 1.6 metabolic equivalents (METs), 3 METs, 6 METs, and 9 METs during her exercise on the treadmill. During that time, her pulse rate increased linearly from 60 up to 150. The systolic blood pressure increased from 140 to 160. The blood pressure at the final MET level apparently was not recorded. During the course of the test, the patient did not really complain of chest pain, but she did become quite noticeably tired and short of breath, complaining of some chest pain. The rhythm strips at 1.6, 3, and 6 METs did not show any real ST segment depression. However, at the 6-MET level, there was noted about a 1/2-mm horizontal ST segment depression. At 9 METs, the changes were somewhat more pronounced with about a 1–2 mm. ST segment depression was actually horizontal to downward sloping. With these changes at 9 METs. Interpretation: Would think that this is sort of a borderline test with indeed some signs of positive at 9 METs. At this point, would think this lady probably could be watched. She is essentially asymptomatic at rest and at low levels of exercise. Continue her medications and see her frequently in the office if her symptoms increase. It may be that she should be restressed, or at any rate, that she should have yearly stress tests to keep tabs on the status of her coronary arteries. If the symptoms worsen and so forth, it might be worth referral for further studies. DIAGNOSES: Paroxysmal atrial tachycardia. Chest pain. Hypertension. Rule out coronary artery disease. Question Assign the most appropriate CPT procedure code(s)